Organization Active NPI

Urgent-C Room

  • Nurse Practitioner
  • Jackson, NJ
National Provider Identifier
1336724640
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
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

Updated by the provider on May 7, 2021

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)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2221372The Urgent C-Room15 Cranberry Court, Jackson, NJ 08527Certificate of waiverApr 20, 2027

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.