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

Doing business as

MedExpress Urgent Care - Cedar Knolls, E Hanover Ave

Practice address

118 E Hanover Avenue
Cedar Knolls, NJ 07927-2007

Phone

(973) 644-2223

Fax

(973) 644-2225

NPI assigned

Jun 7, 2016

Last updated

Jan 31, 2019By the provider in NPPES

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 - Cedar Knolls, E Hanover 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": "1465257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1467801852",
    "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": "118 E HANOVER AVENUE",
            "city": "CEDAR KNOLLS",
            "state": "NJ",
            "postal_code": "079272007",
            "telephone_number": "973-644-2223",
            "fax_number": "973-644-2225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-07",
        "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": "",
            "desc": "Emergency Medicine",
            "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": [
        {
            "organization_name": "MedExpress Urgent Care - Cedar Knolls, E Hanover Ave",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedExpress Urgent Care - Cedar Knolls, E Hanover Ave",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew Matos, PT, DPT
• Maxim Brain and Spine
• Rosemary E MC Geady, M.D.
• Bryce McBride
• Anne Kristine McNamara, LPC
• Medical Laboratory Diagnostics, Inc.
• Medlabs Genetics
• Samantha Lynn Meilands, PA-C
• Samantha Marie Menza, DPT
• Metabolic Care Associates P.a.

• Urgent Care Clinic/Center in Cedar Knolls, NJ
• Providers in Cedar Knolls, 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.