NPIMap

Organization Active NPI

Live Urgent Care LLC

Doing business as Live Urgent Care

  • Family Medicine Physician
  • Bellmawr, NJ
National Provider Identifier
1407439870
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
LIVE URGENT CARE LLC
Doing business as
Live Urgent Care
Practice address
363 W Browning Rd Unit a
Bellmawr, NJ 08031-1982
Phone
(856) 333-3616
NPI assigned
May 3, 2021
Last updated
May 3, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Browlyn MarquezNPI 1063063816
Title
Owner
Phone
(856) 333-3616

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
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

363 W Browning Rd Unit a
Bellmawr, NJ 08031-1982

Mailing address

300 Carnegie Ctr Ste 150
Princeton, NJ 08540-6285

Other names 1

  • Live Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210622002694 NJ Part B Supplier - Clinic/Group Practice 7214338771 Receives reassigned benefits from 65 practitioners
Practice locations: Spotswood, NJ; Somerset, NJ; Princeton, NJ; Perth Amboy, NJ; Morris Plains, NJ; Pennington, NJ; Bellmawr, NJ; Bordentown, NJ

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
31D2211054Live Urgent Care Bellmawr363 W Browning Road, Bellmawr, NJ 08031Certificate of waiverJan 25, 2027

National Provider Directory

National Provider Directory

Locations

363 W Browning Rd
Unit A
Bellmawr, NJ 08031
Phone (856) 333-3616

280 Dunns Mill Rd
Bordentown, NJ 08505
Phone (609) 301-6530

800 Denow Rd
Pennington, NJ 08534
Phone (609) 613-2226

323 State St
Perth Amboy, NJ 08861
Phone (732) 484-4778

3490 US Highway 1
Ste 9
Princeton, NJ 08540
Phone (973) 326-0030

147 Pierce St
Somerset, NJ 08873
Phone (646) 644-1340

149 Pierce St
Ste 1D
Somerset, NJ 08873
Phone (732) 838-4942

85 Old Stage Rd
Spotswood, NJ 08884
Phone (732) 838-4940

Practitioners & affiliated clinicians

Practitioners 68

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.

View all 68

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1407439870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CARNEGIE CTR STE 150",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085406285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 W BROWNING RD UNIT A",
            "city": "BELLMAWR",
            "state": "NJ",
            "postal_code": "080311982",
            "telephone_number": "856-333-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-05-03",
        "certification_date": "2021-05-03",
        "status": "A",
        "authorized_official_last_name": "MARQUEZ",
        "authorized_official_first_name": "BROWLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-333-3616"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bellmawr, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.