Bayfront Urgent Care PA
Organization Active NPI Urgent Care Clinic/Center · Northfield, NJ
NPI 1609169796 · NPPES record last updated Oct 17, 2024
Key facts
- NPI
- 1609169796
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Urgent Care Clinic/Center 261QU0200X
- License
- 1609427 (NJ)
- Legal business name
- BAYFRONT URGENT CARE PA
- Practice address
- 2605 Shore Rd
Northfield, NJ 08225-2136 - Phone
- (609) 365-5333
- NPI assigned
- May 23, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Ulices Perez Feliz, MD
- Title
- President
- Phone
- (609) 965-6200
Practitioners 45
-
Jordan Biet Barnett, MD FACEP FAAEM FACHE
-
Diane C Casey, APN
-
Jessica Cusato, NP
-
Ellyn Hill, NP
-
Erica Sickler, FNP-BC
-
Anthony Ciarricco, PA-C
-
Jacob M Meredith, MD
-
Robin Scott Camp, MD, MPH
-
Kenneth E Cramer, MD
-
Jacqueline Rounds, D.O.
-
Janet M Weiss, NURSE PRACTITIONER
-
Robert Emas, MD
-
Reuben I Ash, M.D.
-
Rosario Marquez Alfaro, NP-C
-
Jasmine Bauknight, M.D
-
Tuan Anh Bui, MD
-
Kristen Lynn Cautilli, PA-C
-
Steven Cetel, D.O
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2050956 | Bayfront Urgent Care PA | Certificate of waiver | Oct 10, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130128000012 | NJ | Part B Supplier - Clinic/Group Practice | 5092969154 |
Receives reassigned benefits from 20 practitioners Practice locations: Northfield, NJ |
National Provider Directory
Locations
2605 Shore Rd
Northfield, NJ 08225
Phone (609) 365-5300
2605 Shore Rd
#1
Northfield, NJ 08225
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 1609427 | NJ | Yes |
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 identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0631329 | Medicaid | NJ |
Other names
- Shore Urgent Care
Other providers in Northfield, NJ
- Atlantic Shore Podiatry,P.a.
- Atlantic Shore Podiatry,P.a.
- Barnett & Massey LLC
- Robin M Barnett
- Sarah Barninger
- Be Well Women'S Health
- Manya Maria Bean
- Nitin Behl
- Better Hearing Inc.
- Paige Betz
All providers in Northfield, NJ · Urgent 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 Oct 17, 2024. 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.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.