Active NPI
Hamilton Trenton Urgent Care Center, LLC
- Family Medicine Physician
- Trenton, NJ
National Provider Identifier
1265680912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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/
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Internal Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8793506 | Medicaid | NJ |
Other names 2
- Ozedi Health Center for Integrative & Functional Health
- Hamilton-Trenton Urgent Medical & Minor Trauma Centeer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Physician Assistant
- Trenton, NJ
- NPI 1669404687
-
- Internal Medicine Physician
- West Orange, NJ
- NPI 1881653608
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.