Medexpress Urgent Care - New Jersey, Inc

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEXPRESS URGENT CARE - NEW JERSEY, INC

Doing business as

MedExpress Urgent Care - Pennsville, N Broadway

Practice address

251 N Broadway
Suite 5a
Pennsville, NJ 08070-1200

Phone

(856) 678-3469

Fax

(856) 678-3054

NPI assigned

Sep 27, 2016

Organization subpart

No

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

Authorized official

Name

Tim Bugin

Title

VP Payor Contracting

Phone

(304) 225-2500

Specialties & licenses 2

Addresses

Other names 1

• MedExpress Urgent Care - Pennsville, N Broadway Doing business as

Locations

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1821547100",
    "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": "251 N BROADWAY",
            "address_2": "SUITE 5A",
            "city": "PENNSVILLE",
            "state": "NJ",
            "postal_code": "080701200",
            "telephone_number": "856-678-3469",
            "fax_number": "856-678-3054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDEXPRESS URGENT CARE - NEW JERSEY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "BUGIN",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "VP 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": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedExpress Urgent Care - Pennsville, N Broadway",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mazzuca Eye and Laser Centers,PA
• Douglas Edward Mazzuca, DO
• Douglas Edward Mazzuca Jr., D.O.
• Bridgett Elizabeth McCaffery O'Brien
• John C McKenzie, PT
• Elizabeth Mesogianes, MT-BC
• Mid-Atlantic States Career and Education Center
• Mid-Atlantic States Career and Education Center
• Mitchell Bober, D.O.
• Margaret A Moloney, APN

• Urgent Care Clinic/Center in Pennsville, NJ
• Providers in Pennsville, NJ by specialty
• Urgent Care Clinic/Center in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.