Organization Active NPI

NJ 365 Urgent Care LLC

  • Urgent Care Clinic/Center
  • Kendall Park, NJ
National Provider Identifier
1639870561
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
NJ 365 URGENT CARE LLC
Practice address
3250 State Route 27 Ste 102
Kendall Park, NJ 08824-1550
Phone
(732) 419-2444
Fax
(732) 666-9700
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Jatin K Shah, MDNPI 1417201567
Title
Co Owner
Phone
(732) 419-2444

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Primary Care Clinic/Center 261QP2300X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

3250 State Route 27 Ste 102
Kendall Park, NJ 08824-1550

Mailing address

3250 State Route 27 Ste 102
Kendall Park, NJ 08824-1550
Phone (732) 419-2444

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230914001219 NJ Part B Supplier - Clinic/Group Practice 4082078019 Receives reassigned benefits from 2 practitioners
Practice locations: Kendall Park, NJ

National Provider Directory

National Provider Directory

Locations

3250 State Route 27
Ste 102
Kendall Park, NJ 08824
Phone (732) 419-2444

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1639870561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 STATE ROUTE 27 STE 102",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241550",
            "telephone_number": "732-419-2444",
            "fax_number": "732-666-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 STATE ROUTE 27 STE 102",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241550",
            "telephone_number": "732-419-2444",
            "fax_number": "732-666-9700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NJ 365 URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "JATIN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "732-419-2444",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.