Prohealth Urgent Care Medicine of New Jersey LLP
Organization Active NPI Emergency Care Clinic/Center · Edgewater, NJ
NPI 1477927754 · NPPES record last updated Nov 25, 2015
Key facts
- NPI
- 1477927754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Care Clinic/Center 261QE0002X
- Legal business name
- PROHEALTH URGENT CARE MEDICINE OF NEW JERSEY LLP
- Practice address
- 461 River Rd
Edgewater, NJ 07020-1145 - Phone
- (516) 622-6000
- NPI assigned
- Nov 24, 2015
- Organization subpart
- No
Authorized official
- Name
- Elliott Pellman, MD
- Title
- General Partner
- Phone
- (516) 622-6000
Practitioners 211
-
Kamalpreet Bhullar, APRN
-
Gregory B Luma, MD
-
Scott Evan Spagnolo-Hye, D.O.
-
Nicholas Louis Lamb, PA-C
-
Zachary Sakena, PA-C
-
Julia Nadine Smith, PA-C
-
Brandon Michael Papeika, PA-C
-
Darlene Sylvain, PA
-
Nidhi Agrawal, MD
-
Joseph Aloise, D.O.
-
Rebecca Altaras, DO
-
Shahan Ghulam Arif, M.D.
-
Joseph Ballaro, M.D.
-
Fuad Bashjawish, DO
-
Tanaeya Bradley, NP
-
Gilchris Burton, M.D.
-
Jan F Cardinale, M.D.
-
Saqib Chaudhry, MD
-
Roger L Chen, M.D.
-
Xiao Ji Chen, MD
-
Amit C Chitalia, MD
-
Emi Chiusano, MD
-
Bradley Davis, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180320001992 | NJ | Part B Supplier - Clinic/Group Practice | 6002178647 |
Receives reassigned benefits from 207 practitioners Practice locations: Cinnaminson, NJ |
National Provider Directory
Locations
118 E Hanover Ave
Cedar Knolls, NJ 07927
Phone (973) 644-2223
460 River Rd
Edgewater, NJ 07020
Phone (551) 313-0170
461 River Rd
Edgewater, NJ 07020
Phone (551) 313-0170
228 Mountain Ave
Hackettstown, NJ 07840
Phone (908) 852-2470
415 W Saint Georges Ave
Linden, NJ 07036
Phone (908) 925-0363
228 Franklin Ave
Ste 1
Nutley, NJ 07110
1 Harmon Plz
Ste 1010
Secaucus, NJ 07094
225 US Highway 46
Totowa, NJ 07512
Phone (973) 256-0452
3403 S Delsea Dr
Vineland, NJ 08360
Phone (856) 293-6974
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Yes |
Addresses
Primary practice location
461 River Rd
Edgewater, NJ 07020-1145
Mailing address
2800 Marcus Ave
New Hyde Park, NY 11042-1113
Phone (516) 622-6000
Other providers in Edgewater, NJ
- Premier Surgical Assist LLC
- Danielle Press
- Progressive Podiatry of North Jersey
- Prohealth Care Associates of New Jersey LLP
- Prohealth Riverside Dental, LLC
- Christopher Pumill
- Rick Pumill
- Navanita Purkayastha
- Nitin Putcha
- Brian Quan
All providers in Edgewater, NJ · Emergency Care Clinic/Center in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.