Organization Active NPI

Hamilton Trenton Urgent Care Center, LLC

  • Family Medicine Physician
  • Trenton, NJ
National Provider Identifier
1265680912
Registry record updated Sep 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HAMILTON TRENTON URGENT CARE CENTER, LLC
Practice address
1254 S Broad St
Trenton, NJ 08610-6256
Phone
(609) 218-5637
Fax
(609) 218-5639
NPI assigned
Sep 7, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Gabriel O Ozonuwe, DR. OF MED./ DC/PAC/NPI 1669404687
Title
Admin. Director
Phone
(609) 212-4404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Urgent Care Clinic/Center 261QU0200X
Urgent Care Clinic/Center 261QU0200X 25MP00019100 NJ
Urgent Care Clinic/Center 261QU0200X 25MA05212700 NJ

Addresses

Primary practice location

1254 S Broad St
Trenton, NJ 08610-6256

Mailing address

1254 S Broad St
Trenton, NJ 08610-6256
Phone (609) 212-4404

Other identifiers 1

IdentifierTypeStateIssuer
8793506MedicaidNJ

Other names 2

  • Ozedi Health Center for Integrative & Functional Health Doing business as
  • Hamilton-Trenton Urgent Medical & Minor Trauma Centeer Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090311000083 NJ Part B Supplier - Clinic/Group Practice 2062578479 Receives reassigned benefits from 1 practitioner
Practice locations: Trenton, NJ

National Provider Directory

National Provider Directory

Locations

1254 S Broad St
Trenton, NJ 08610
Phone (609) 212-4404

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694390400000",
    "number": "1265680912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086106256",
            "telephone_number": "609-212-4404",
            "fax_number": "609-341-9086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 S BROAD ST",
            "city": "TRENTON",
            "state": "NJ",
            "postal_code": "086106256",
            "telephone_number": "609-218-5637",
            "fax_number": "609-218-5639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMILTON TRENTON URGENT CARE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-07",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A",
        "authorized_official_last_name": "OZONUWE",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "ADMIN. DIRECTOR",
        "authorized_official_telephone_number": "609-212-4404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DR. OF MED./ DC/PAC/"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "25MP00019100",
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "25MA05212700",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8793506",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ozedi Health Center for Integrative & Functional Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Ozedi Health Center for Integrative & Functional Health",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Hamilton-Trenton Urgent Medical & Minor Trauma Centeer",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Trenton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.