Active NPI
Urgent-C Room
- Nurse Practitioner
- Jackson, NJ
National Provider Identifier
1336724640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- URGENT-C ROOM
- Practice address
- 15 Cranberry CT
Jackson, NJ 08527-5165 - Phone
- (732) 784-8864
- NPI assigned
- Mar 17, 2021
- 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
- Yehoshua Kessin
- Title
- Owner
- Phone
- (732) 784-8864
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
15 Cranberry CT
Jackson, NJ 08527-5165
Mailing address
15 Cranberry CT
Jackson, NJ 08527-5165
Phone (732) 784-8864
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 |
|---|---|---|---|
| 31D2221372 | The Urgent C-Room | Certificate of waiver | Apr 20, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620345600000",
"number": "1336724640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 CRANBERRY CT",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085275165",
"telephone_number": "732-784-8864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 CRANBERRY CT",
"city": "JACKSON",
"state": "NJ",
"postal_code": "085275165",
"telephone_number": "732-784-8864"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "URGENT-C ROOM",
"organizational_subpart": "NO",
"enumeration_date": "2021-03-17",
"last_updated": "2021-05-07",
"certification_date": "2021-05-07",
"status": "A",
"authorized_official_last_name": "KESSIN",
"authorized_official_first_name": "YEHOSHUA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "732-784-8864"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.