City Medical of New Jersey, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

CITY MEDICAL OF NEW JERSEY, PC

Doing business as

CityMD Urgent Care

Practice address

609 Broad St
Newark, NJ 07102-4408

Phone

(000) 000-0000

Fax

(000) 000-0000

NPI assigned

Aug 9, 2017

Last updated

Feb 19, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

CITY MEDICAL OF NEW JERSEY, PCAs reported in NPPES

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

Authorized official

Name

Marlena Simpson, CPMSM

Title

VP, Credentialing

Phone

(516) 453-0435

Specialties & licenses 1

Addresses

Other names 1

• CityMD Urgent Care Doing business as

Part of

City Medical of NJ

Locations

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.

• City Medical of New Jersey, PC

  • Urgent Care Clinic/Center
  • Paramus, NJ
  • NPI 1568858686
  NPPES parent name

Practitioners 2

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.

• Jemius Dae Lee, D.O.

  • Emergency Medicine Physician
  • Piscataway, NJ
  • NPI 1063826014
  NPD (past)
• Rachel Rosmarie Saeboe, PA

  • Medical Physician Assistant
  • Teterboro, NJ
  • NPI 1427618172
  NPD (past)

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

{
    "created_epoch": "1502236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550534400000",
    "number": "1295250462",
    "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": "609 BROAD ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071024408",
            "telephone_number": "000-000-0000",
            "fax_number": "000-000-0000"
        }
    ],
    "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": "2017-08-09",
        "last_updated": "2019-02-19",
        "status": "A",
        "authorized_official_last_name": "SIMPSON",
        "authorized_official_first_name": "MARLENA",
        "authorized_official_title_or_position": "VP, CREDENTIALING",
        "authorized_official_telephone_number": "516-453-0435",
        "authorized_official_credential": "CPMSM"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CityMD Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donald S. Ciccone, PHD
• Frank Ciminello, MD
• Gabrielle Ciraco
• Citihealth RX Inc (CitiHealth Rx)
• City Hill CDC (Strive 4)
• City of Newark (Newark Dept of Health and Community Wellness Dental Mobile Unit)
• City of Newark (Newark Dept of Health/Mary Eliza Mahoney Hlth Ctr Mobile Unit #1)
• City of Newark (Newark Department of Health and Community Welllness)
• City of Newark (Newark Department of Health and Community Wellness)
• City of Newark (Newark Department of Health and Community Wellness)

• Urgent Care Clinic/Center in Newark, NJ
• Providers in Newark, NJ by specialty
• Urgent Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; 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.