NPIMap

Organization Active NPI

Nextgenuc LLC

  • Pediatrics Physician
  • Bergenfield, NJ
National Provider Identifier
1295449007
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
NEXTGENUC LLC
Doing business as
Next Generation Urgent Care
Practice address
481 S Washington Ave
Bergenfield, NJ 07621-4313
Phone
(201) 875-2454
Fax
(732) 707-5001
NPI assigned
Jan 6, 2023
Organization subpart
Yes
Parent organization
NEXTGENUC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Authorized official

Name
Dr. Dimitri Laddis, MDNPI 1760415384
Title
Medical Director
Phone
(917) 974-7279

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

481 S Washington Ave
Bergenfield, NJ 07621-4313

Mailing address

481 S Washington Ave
Bergenfield, NJ 07621-4313
Phone (201) 875-2454

Other names 1

  • Next Generation Urgent Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nextgenuc LLC2 organizations share this tax ID, including this one
Part of
Nextgenuc LLC

Other organizations with this tax ID 1

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

Locations

481 S Washington Ave
Bergenfield, NJ 07621
Phone (201) 875-2454

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.

Practitioners & affiliated clinicians

Practitioners 7

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": "1672963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672963200000",
    "number": "1295449007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "481 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214313",
            "telephone_number": "201-875-2454",
            "fax_number": "732-707-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "481 S WASHINGTON AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076214313",
            "telephone_number": "201-875-2454",
            "fax_number": "732-707-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXTGENUC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEXTGENUC LLC",
        "enumeration_date": "2023-01-06",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A",
        "authorized_official_last_name": "LADDIS",
        "authorized_official_first_name": "DIMITRI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-974-7279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Next Generation Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.