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

Practice address

501 State Route 10
Ledgewood, NJ 07852-9667

Phone

(973) 584-6751

Fax

(973) 584-6753

NPI assigned

Jul 31, 2014

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 identifiers 1

Other names 1

• MedExpress Urgent Care - Ledgewood, State Route 10 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

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Aaron Lowenstein, D.O.

  • Family Medicine Physician
  • Bayonne, NJ
  • NPI 1629211297
  NPD (past)
• Theodora Kulesza-Galvez, MD

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1013323450
  NPD (past)
• Larry Victor Starcher II, MD

  • Emergency Medicine Physician
  • Morgantown, WV
  • NPI 1417956053

  Emergency Medicine

  NPD (past)

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548892800000",
    "number": "1528476751",
    "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": "501 STATE ROUTE 10",
            "city": "LEDGEWOOD",
            "state": "NJ",
            "postal_code": "078529667",
            "telephone_number": "973-584-6751",
            "fax_number": "973-584-6753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-31",
        "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": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0347116",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Ledgewood, State Route 10",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedExpress Urgent Care - Ledgewood, State Route 10",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Srinivas Maddali
• Shannon Barbara Maher, FNP-C
• Sana Mandal
• Maximum Health & Wellness Florham Park, LLC
• Corri May
• Nidhi Naik
• National Vision Inc
• National Vision, Inc.
• Alois Marshall Ndlovu
• New Jersey CVS Pharmacy LLC

• All providers in Ledgewood, NJ
• 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.