Organization Active NPI

My Doc Jersey Urgent Care LLC

  • Urgent Care Clinic/Center
  • Garfield, NJ
National Provider Identifier
1891219226
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MY DOC JERSEY URGENT CARE LLC
Practice address
210 Passaic St
Garfield, NJ 07026-1355
Phone
(862) 295-3501
NPI assigned
Jul 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Julie Marino
Title
Deputy Manager
Phone
(862) 295-3501

Specialties & licenses 1

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

Addresses

Primary practice location

210 Passaic St
Garfield, NJ 07026-1355

Mailing address

210 Passaic St
Garfield, NJ 07026-1355
Phone (862) 295-3501

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, 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": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1891219226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 PASSAIC ST",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261355",
            "telephone_number": "862-295-3501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 PASSAIC ST",
            "city": "GARFIELD",
            "state": "NJ",
            "postal_code": "070261355",
            "telephone_number": "862-295-3501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY DOC JERSEY URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "certification_date": "2020-12-22",
        "status": "A",
        "authorized_official_last_name": "MARINO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_title_or_position": "DEPUTY MANAGER",
        "authorized_official_telephone_number": "862-295-3501"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.