NPIMap

Organization Active NPI

City Medical of New Jersey, PC

  • Urgent Care Clinic/Center
  • East Hanover, NJ
National Provider Identifier
1265983308
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CITY MEDICAL OF NEW JERSEY, PC
Practice address
399 State Route 10
East Hanover, NJ 07936-3530
Phone
(908) 557-9808
Fax
(908) 557-9809
NPI assigned
Oct 24, 2016
Organization subpart
Yes
Parent organization
CITY MEDICAL OF NEW JERSEY, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Authorized official

Name
Dr. Richard Park, M.D.
Title
Ceo
Phone
(516) 783-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

399 State Route 10
East Hanover, NJ 07936-3530

Mailing address

1345 RXR PLZ
Uniondale, NY 11556-1301
Phone (516) 783-4600

Other names 1

  • CityMD Urgent Care 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
31D2121145City Medical of New Jersey, PC399 State Route 10, East Hanover, NJ 07936Certificate of waiverOct 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
City Medical of NJ PC8 organizations share this tax ID, including this one
Part of
City Medical of NJ PC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1265983308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-783-4600",
            "fax_number": "646-846-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 STATE ROUTE 10",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363530",
            "telephone_number": "908-557-9808",
            "fax_number": "908-557-9809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY MEDICAL OF NEW JERSEY, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CITY MEDICAL OF NEW JERSEY, PC",
        "enumeration_date": "2016-10-24",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-783-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityMD Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CityMD Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in East Hanover, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.