NPIMap

Organization Active NPI

Brunswick Urgent Care P a

  • Emergency Medicine Physician
  • Franklin Park, NJ
National Provider Identifier
1366528341
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
25MA06437800 Issued in NJ
Legal business name
BRUNSWICK URGENT CARE P A
Practice address
3185 RT. 27
Franklin Park, NJ 08823-1313
Phone
(732) 422-4889
Fax
(732) 940-8724
NPI assigned
Oct 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Authorized official

Name
Min Cha, M.D.NPI 1124113535
Title
Director
Phone
(732) 422-4889

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
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 25MA06437800 NJ Primary

Addresses

Primary practice location

3185 RT. 27
Franklin Park, NJ 08823-1313

Mailing address

PO Box 5034
Kendall Park, NJ 08824-5034
Phone (732) 422-4889

Other identifiers 1

IdentifierTypeStateIssuer
7342403MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050215000669 NJ Part B Supplier - Clinic/Group Practice 6406808708 Receives reassigned benefits from 14 practitioners
Practice locations: East Brunswick, NJ; Franklin Park, NJ

National Provider Directory

National Provider Directory

Locations

641 Route 18
East Brunswick, NJ 08816
Phone (732) 422-4889

3185 State Route 27
Franklin Park, NJ 08823
Phone (732) 422-4889

3110 State Route 27
Ste 4
Kendall Park, NJ 08824
Phone (732) 422-4889

3110 State Route 27
Ste 400
Kendall Park, NJ 08824
Phone (732) 690-0710

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436140800000",
    "number": "1366528341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5034",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088245034",
            "telephone_number": "732-422-4889",
            "fax_number": "732-940-8724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3185 RT. 27",
            "city": "FRANKLIN PARK",
            "state": "NJ",
            "postal_code": "088231313",
            "telephone_number": "732-422-4889",
            "fax_number": "732-940-8724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRUNSWICK URGENT CARE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2015-07-06",
        "status": "A",
        "authorized_official_last_name": "CHA",
        "authorized_official_first_name": "MIN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-422-4889",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NJ",
            "license": "25MA06437800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7342403",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.