Organization Active NPI

Parkside Urgent Care, Inc

  • Urgent Care Clinic/Center
  • Ewing, NJ
National Provider Identifier
1962485649
Registry record updated Sep 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
PARKSIDE URGENT CARE, INC
Practice address
1450 Parkside Ave
Suite 23
Ewing, NJ 08638-2946
Phone
(609) 882-5200
Fax
(609) 882-0370
NPI assigned
Nov 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2007

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

Authorized official

Name
Obasi Chukwunenye, M.D.
Title
President
Phone
(609) 882-5200

Specialties & licenses 1

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

Addresses

Primary practice location

1450 Parkside Ave
Suite 23
Ewing, NJ 08638-2946

Mailing address

1450 Parkside Ave
Suite 23
Ewing, NJ 08638-2946
Phone (609) 882-5200

National Provider Directory

National Provider Directory

Locations

1450 Parkside Ave
Ste 23
Ewing, NJ 08638
Phone (609) 882-5200

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": "1133136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189555200000",
    "number": "1962485649",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AVE",
            "address_2": "SUITE 23",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382946",
            "telephone_number": "609-882-5200",
            "fax_number": "609-882-0370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 PARKSIDE AVE",
            "address_2": "SUITE 23",
            "city": "EWING",
            "state": "NJ",
            "postal_code": "086382946",
            "telephone_number": "609-882-5200",
            "fax_number": "609-882-0370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE URGENT CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-28",
        "last_updated": "2007-09-12",
        "status": "A",
        "authorized_official_last_name": "CHUKWUNENYE",
        "authorized_official_first_name": "OBASI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "609-882-5200",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ewing, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2007; 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.