Active NPI
Ultra Care Clinics LLC
- Urgent Care Clinic/Center
- Deptford, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 25MA08024700
- 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, 2026
- 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. Imran Azam Mirza, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2097382 | Ultra Care Clinics LLC | Certificate of waiver | Jan 31, 2028 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Critical Care Medicine (Internal Medicine) Physician
- Deptford, NJ
- NPI 1376573204
Urgent Care
-
- Family Nurse Practitioner
- Deptford, NJ
- NPI 1669225991
-
- Family Nurse Practitioner
- Glassboro, NJ
- NPI 1861215220
-
- Physician Assistant
- Deptford, NJ
- NPI 1497517023
-
- Physician Assistant
- Atlantic City, NJ
- NPI 1538640214
-
- Physician Assistant
- Woodbury, NJ
- NPI 1427816180
-
- Physician Assistant
- Deptford, NJ
- NPI 1942975610
-
- Physician Assistant
- Cherry Hill, NJ
- NPI 1184486235
-
- Family Nurse Practitioner
- Deptford, NJ
- NPI 1891240644
-
- Physician Assistant
- Paoli, PA
- NPI 1245180306
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.