Organization Active NPI

Bayfront Urgent Care PA

Doing business as Shore Urgent Care

  • Urgent Care Clinic/Center
  • Northfield, NJ
National Provider Identifier
1609169796
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
1609427 Issued in NJ
Legal business name
BAYFRONT URGENT CARE PA
Doing business as
Shore Urgent Care
Practice address
2605 Shore Rd
Northfield, NJ 08225-2136
Phone
(609) 365-5333
NPI assigned
May 23, 2011
Last updated
Oct 17, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Authorized official

Name
Dr. Ulices Perez Feliz, MDNPI 1366619371
Title
President
Phone
(609) 965-6200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 1609427 NJ Primary

Addresses

Primary practice location

2605 Shore Rd
Northfield, NJ 08225-2136

Mailing address

1 E New York Ave
Somers Point, NJ 08244-2340
Phone (609) 653-3519

Other practice location 1

1 E New York Ave
4th floor Admin
Somers Point, NJ 08244-2340
Phone (609) 365-6200 ext. 3060

Other names 1

  • Shore Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130128000012 NJ Part B Supplier - Clinic/Group Practice 5092969154 Receives reassigned benefits from 20 practitioners
Practice locations: Northfield, NJ

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
31D2050956Bayfront Urgent Care PA2605 Shore Road, Northfield, NJ 08225Certificate of waiverOct 10, 2026

National Provider Directory

National Provider Directory

Locations

25 Lindsley Dr
Ste 205
Morristown, NJ 07960
Phone (973) 993-8777

2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300

2605 Shore Rd
#1
Northfield, NJ 08225

Practitioners & affiliated clinicians

Practitioners 45

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 45

NPI Registry JSON

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

{
    "created_epoch": "1306108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1609169796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E NEW YORK AVE",
            "city": "SOMERS POINT",
            "state": "NJ",
            "postal_code": "082442340",
            "telephone_number": "609-653-3519",
            "fax_number": "609-653-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SHORE RD",
            "city": "NORTHFIELD",
            "state": "NJ",
            "postal_code": "082252136",
            "telephone_number": "609-365-5333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 E New York Ave",
            "address_2": "4th floor Admin",
            "address_purpose": "LOCATION",
            "city": "Somers Point",
            "state": "NJ",
            "postal_code": "082442340",
            "country_code": "US",
            "telephone_number": "609-365-6200 x3060",
            "fax_number": "609-926-4311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAYFRONT URGENT CARE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-23",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A",
        "authorized_official_last_name": "PEREZ FELIZ",
        "authorized_official_first_name": "ULICES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-965-6200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NJ",
            "license": "1609427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shore Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Shore Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.