Active NPI
NJ Quality Care LLC
- Urgent Care Clinic/Center
- Irvington, NJ
National Provider Identifier
1447962253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- NJ QUALITY CARE LLC
- Practice address
- 352 16TH Ave
Irvington, NJ 07111-4507 - Phone
- (973) 370-4000
- NPI assigned
- Dec 23, 2022
- Last updated
- Dec 23, 2022
- 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
- Mr. Magdy F Mahmoud
- Title
- Registered Agent
- Phone
- (973) 370-4000
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | NU | ||
| Urgent Care Clinic/Center | 261QU0200X | NU | Primary |
Addresses
Primary practice location
352 16TH Ave
Irvington, NJ 07111-4507
Mailing address
110 Squire Hill Rd
Montclair, NJ 07043-2516
Phone (973) 370-4000
National Provider Directory
National Provider DirectoryLocations
352 16th Ave
Irvington, NJ 07111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1671753600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1671753600000",
"number": "1447962253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 SQUIRE HILL RD",
"city": "MONTCLAIR",
"state": "NJ",
"postal_code": "070432516",
"telephone_number": "973-370-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 16TH AVE",
"city": "IRVINGTON",
"state": "NJ",
"postal_code": "071114507",
"telephone_number": "973-370-4000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NJ QUALITY CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-23",
"last_updated": "2022-12-23",
"certification_date": "2022-12-23",
"status": "A",
"authorized_official_last_name": "MAHMOUD",
"authorized_official_first_name": "MAGDY",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "REGISTERED AGENT",
"authorized_official_telephone_number": "973-370-4000",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irvington, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.