NPIMap

Organization Active NPI

Prohealth Urgent Care Medicine of New Jersey LLP

  • Emergency Care Clinic/Center
  • Edgewater, NJ
National Provider Identifier
1477927754
Registry record updated Sep 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Care Clinic/CenterTaxonomy code 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
Last updated
Sep 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2026

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

Authorized official

Name
Elliott Pellman, MD
Title
General Partner
Phone
(516) 622-6000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X Primary

Addresses

Primary practice location

461 River Rd
Edgewater, NJ 07020-1145

Mailing address

2800 Marcus Ave
New Hyde Park, NY 11042-1052
Phone (516) 622-6000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180320001992 NJ Part B Supplier - Clinic/Group Practice 6002178647 Receives reassigned benefits from 207 practitioners
Practice locations: Cinnaminson, NJ

National Provider Directory

National Provider Directory

Locations

460 River Rd
Edgewater, NJ 07020
Phone (551) 313-0170

501 State Route 10
Ledgewood, NJ 07852
Phone (973) 584-6751

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

4318 Route 130
Willingboro, NJ 08046
Phone (609) 871-2045

Practitioners & affiliated clinicians

Practitioners 211

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 211

NPI Registry JSON

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790121600000",
    "number": "1477927754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421052",
            "telephone_number": "516-622-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 RIVER RD",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201145",
            "telephone_number": "516-622-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROHEALTH URGENT CARE MEDICINE OF NEW JERSEY LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-24",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A",
        "authorized_official_last_name": "PELLMAN",
        "authorized_official_first_name": "ELLIOTT",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "516-622-6000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edgewater, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.