Medexpress Urgent Care - Northern New Jersey, PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC

Practice address

135 Bloomfield Ave
Bloomfield, NJ 07003-5902

Phone

(973) 748-7459

Fax

(973) 748-9719

NPI assigned

Nov 7, 2016

Organization subpart

No

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

Authorized official

Name

Brett Gall

Title

Director Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other names 1

• MedExpress Urgent Care - Bloomfield, Bloomfield Ave Doing business as

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

CLIA laboratory certificates

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

{
    "created_epoch": "1478476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1407398555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 CONSOL ENERGY DR",
            "city": "CANONSBURG",
            "state": "PA",
            "postal_code": "153176506",
            "telephone_number": "304-225-2500",
            "fax_number": "724-743-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BLOOMFIELD AVE",
            "city": "BLOOMFIELD",
            "state": "NJ",
            "postal_code": "070035902",
            "telephone_number": "973-748-7459",
            "fax_number": "973-748-9719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-07",
        "last_updated": "2019-01-31",
        "status": "A",
        "authorized_official_last_name": "GALL",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "DIRECTOR PAYOR CONTRACTING",
        "authorized_official_telephone_number": "304-225-2500"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Bloomfield, Bloomfield Ave",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedExpress Urgent Care - Bloomfield, Bloomfield Ave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tainesha Nicole McKinney, LCSW
• Kathryn McLaughlin, IBCLC
• Carli Rae McMorrow, ATC
• Deanna McPherson, MPH, MSW, LCSW
• Med-Stat Healthcare Inc
• Kira Enid Medina-Tiencken, MS, CCC-SLP
• Brooks Kenneth Meek, LCSW
• Ruchi Mehta, M.D.
• Daniel E Melon, PT, DPT
• Alexis Melvin

• Urgent Care Clinic/Center in Bloomfield, NJ
• Providers in Bloomfield, NJ by specialty
• Urgent Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.