Organization Active NPI

JC Medical Service LLC

  • Health Service Clinic/Center
  • Hillside, NJ
National Provider Identifier
1700772423
Registry record updated Jun 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
JC MEDICAL SERVICE LLC
Practice address
143 Baltimore Ave
Hillside, NJ 07205-2638
Phone
(908) 477-3033
NPI assigned
Jun 17, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2025

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

Authorized official

Name
Jenice Caldwell, FNP-CNPI 1457972911
Title
Owner & Ceo
Phone
(908) 477-3033

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
Health Service Clinic/Center 261QH0100X Primary

Addresses

Primary practice location

143 Baltimore Ave
Hillside, NJ 07205-2638

Mailing address

200 Parcview PL Apt 203
Somerville, NJ 08876-3062

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750118400000",
    "number": "1700772423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PARCVIEW PL APT 203",
            "city": "SOMERVILLE",
            "state": "NJ",
            "postal_code": "088763062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 BALTIMORE AVE",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052638",
            "telephone_number": "908-477-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JC MEDICAL SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-17",
        "last_updated": "2025-06-17",
        "certification_date": "2025-06-17",
        "status": "A",
        "authorized_official_last_name": "CALDWELL",
        "authorized_official_first_name": "JENICE",
        "authorized_official_title_or_position": "OWNER & CEO",
        "authorized_official_telephone_number": "908-477-3033",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.