Organization Active NPI

Ultra Care Clinics LLC

  • Urgent Care Clinic/Center
  • Deptford, NJ
National Provider Identifier
1285034108
Registry record updated Jul 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
25MA08024700 Issued in NJ
Legal business name
ULTRA CARE CLINICS LLC
Practice address
1132 Cooper St
Deptford, NJ 08096-3014
Phone
(856) 848-8060
Fax
(856) 848-8038
NPI assigned
Aug 27, 2014
Last updated
Jul 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2026

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

Authorized official

Name
Dr. Imran Azam Mirza, MDNPI 1376573204
Title
President & Chief Executive Officer
Phone
(856) 848-8060

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 25MA08024700 NJ Primary

Addresses

Primary practice location

1132 Cooper St
Deptford, NJ 08096-3014

Mailing address

PO Box 69
Mickleton, NJ 08056-0069
Phone (856) 848-8060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141231001130 NJ Part B Supplier - Clinic/Group Practice 4284957069 Receives reassigned benefits from 10 practitioners
Practice locations: Sewell, NJ; Woodbury, NJ; Williamstown, NJ; West Deptford, NJ; Voorhees, NJ; Pennsauken, NJ; Maple Shade, NJ; Elmer, NJ…

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
31D2097382Ultra Care Clinics LLC1132 Cooper Street, Deptford, NJ 08096Certificate of waiverJan 31, 2028

National Provider Directory

National Provider Directory

Locations

1132 Cooper St
Woodbury, NJ 08096

1132 Cooper St
Ste 1
Woodbury, NJ 08096

Practitioners & affiliated clinicians

Practitioners 12

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": "1409097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783987200000",
    "number": "1285034108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 69",
            "city": "MICKLETON",
            "state": "NJ",
            "postal_code": "080560069",
            "telephone_number": "856-848-8060",
            "fax_number": "856-848-8038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1132 COOPER ST",
            "city": "DEPTFORD",
            "state": "NJ",
            "postal_code": "080963014",
            "telephone_number": "856-848-8060",
            "fax_number": "856-848-8038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRA CARE CLINICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-27",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A",
        "authorized_official_last_name": "MIRZA",
        "authorized_official_first_name": "IMRAN",
        "authorized_official_middle_name": "AZAM",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "856-848-8060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "25MA08024700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deptford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.