Organization Active NPI

Medexpress Urgent Care - Northern New Jersey, PC

Doing business as MedExpress Urgent Care - Rockaway, Route 46

  • Urgent Care Clinic/Center
  • Rockaway, NJ
National Provider Identifier
1265912703
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC
Doing business as
MedExpress Urgent Care - Rockaway, Route 46
Practice address
346 Route 46
Rockaway, NJ 07866-9998
Phone
(973) 627-4870
Fax
(973) 627-4908
NPI assigned
Aug 15, 2018
Last updated
Jan 31, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Authorized official

Name
Brett Gall
Title
Director Payor Contracting
Phone
(304) 225-2500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207P00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

346 Route 46
Rockaway, NJ 07866-9998

Mailing address

1001 Consol Energy Dr
Canonsburg, PA 15317-6506
Phone (304) 225-2500

Other names 1

  • MedExpress Urgent Care - Rockaway, Route 46 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2154916Urgent Care Physicians of New Jersey346 Route 46, Rockaway, NJ 07866Certificate of waiverSep 19, 2026

National Provider Directory

National Provider Directory

Locations

2322 Route 38
Cherry Hill, NJ 08002
Phone (856) 779-0783

119 US Highway 22
#131
Green Brook, NJ 08812
Phone (732) 752-1301

119 US Highway 22
Ste 131
Green Brook, NJ 08812
Phone (732) 752-1301

4074 US Highway 9
Howell, NJ 07731
Phone (732) 363-2273

415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363

2 S Black Horse Pike
Mount Ephraim, NJ 08059
Phone (856) 547-6000

475 Hurffville Crosskeys Rd
Ste 1
Sewell, NJ 08080
Phone (856) 582-3426

200 US Highway 22
Springfield, NJ 07081
Phone (973) 376-4341

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1265912703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 ROUTE 46",
            "city": "ROCKAWAY",
            "state": "NJ",
            "postal_code": "078669998",
            "telephone_number": "973-627-4870",
            "fax_number": "973-627-4908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-15",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "GALL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "DIRECTOR PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Rockaway, Route 46",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedExpress Urgent Care - Rockaway, Route 46",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockaway, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.