Organization Active NPI

Immediate Medical Service

  • Urgent Care Clinic/Center
  • Oakhurst, NJ
National Provider Identifier
1295056604
Registry record updated Jun 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
IMMEDIATE MEDICAL SERVICE
Practice address
240 Monmouth Road
Oakhurst, NJ 07755
Phone
(732) 531-7711
Fax
(732) 531-3669
NPI assigned
Jun 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2010

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

Authorized official

Name
Jay V Wortzel, MDNPI 1841327129
Title
Owner
Phone
(732) 531-7711

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 Primary

Addresses

Primary practice location

240 Monmouth Road
Oakhurst, NJ 07755

Mailing address

240 Monmouth Road
Oakhurst, NJ 07755
Phone (732) 531-7711

National Provider Directory

National Provider Directory

Locations

240 Monmouth Rd
Oakhurst, NJ 07755
Phone (732) 531-3773

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277078400000",
    "number": "1295056604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 MONMOUTH ROAD",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-531-7711",
            "fax_number": "732-531-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 MONMOUTH ROAD",
            "city": "OAKHURST",
            "state": "NJ",
            "postal_code": "07755",
            "telephone_number": "732-531-7711",
            "fax_number": "732-531-3669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE MEDICAL SERVICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-21",
        "last_updated": "2010-06-21",
        "status": "A",
        "authorized_official_last_name": "WORTZEL",
        "authorized_official_first_name": "JAY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-531-7711",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakhurst, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.