Organization Active NPI

Walk in Medical Center,P.C

  • Primary Care Clinic/Center
  • North Brunswick, NJ
National Provider Identifier
1336561554
Registry record updated Jan 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
25MA08300900 Issued in NJ
Legal business name
WALK IN MEDICAL CENTER,P.C
Practice address
1901 Rte 130
North Brunswick, NJ 08902-3085
Phone
(732) 658-1102
NPI assigned
Jan 7, 2014
Last updated
Jan 24, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2014

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

Authorized official

Name
Atiya Nadeem, M.DNPI 1811178700
Title
Owner
Phone
(732) 658-1102

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
Primary Care Clinic/Center 261QP2300X 25MA08300900 NJ Primary

Addresses

Primary practice location

1901 Rte 130
North Brunswick, NJ 08902-3085

Mailing address

1901 Rte 130
North Brunswick, NJ 08902-3085
Phone (732) 658-1102

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140122001547 NJ Part B Supplier - Clinic/Group Practice 6002044955 Receives reassigned benefits from 1 practitioner
Practice locations: North Brunswick, NJ

National Provider Directory

National Provider Directory

Locations

1901 US Highway 130
North Brunswick, NJ 08902
Phone (732) 658-1102

1901 US Highway 130
Ste D
North Brunswick, NJ 08902

Practitioners & affiliated clinicians

Practitioners 1

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": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390521600000",
    "number": "1336561554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 RTE 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023085",
            "telephone_number": "732-658-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 RTE 130",
            "city": "NORTH BRUNSWICK",
            "state": "NJ",
            "postal_code": "089023085",
            "telephone_number": "732-658-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WALK IN MEDICAL CENTER,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2014-01-24",
        "status": "A",
        "authorized_official_last_name": "NADEEM",
        "authorized_official_first_name": "ATIYA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-658-1102",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NJ",
            "license": "25MA08300900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Brunswick, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.