Active NPI
Skylands Urgent Care, LLC
- Urgent Care Clinic/Center
- Lake Hopatcong, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- SKYLANDS URGENT CARE, LLC
- Practice address
- 174 Edison Rd
Lake Hopatcong, NJ 07849-2217 - Phone
- (973) 663-2700
- NPI assigned
- May 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre Bonnet, DO
- Title
- President
- Phone
- (973) 663-2700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
174 Edison Rd
Lake Hopatcong, NJ 07849-2217
Mailing address
174 Edison Rd
Lake Hopatcong, NJ 07849-2217
Phone (973) 663-2700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180906002957 | NJ | Part B Supplier - Clinic/Group Practice | 0345590618 |
Receives reassigned benefits from 7 practitioners Practice locations: Blairstown, NJ; Flanders, NJ; Franklin, NJ; Lake Hopatcong, NJ; Vernon, NJ |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 31D2124563 | Skylands Urgent Care | Certificate of waiver | Jan 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
104 State Route 94
Blairstown, NJ 07825
Phone (908) 362-5575
293 US Highway 206
Flanders, NJ 07836
Phone (973) 252-9370
310 Route 94
Vernon, NJ 07462
Phone (973) 737-6250
Interoperability endpoints
- https://api.platform.athenahealth.com/17698/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 12
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Elizabeth, NJ
- NPI 1255576419
-
- Physician Assistant
- Lake Hopatcong, NJ
- NPI 1912672130
-
- Physician Assistant
- Clifton, NJ
- NPI 1629730288
-
- Physician Assistant
- Bridgewater, NJ
- NPI 1215304993
-
- Physician Assistant
- Lake Hopatcong, NJ
- NPI 1003669334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1982194791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "174 EDISON RD",
"city": "LAKE HOPATCONG",
"state": "NJ",
"postal_code": "078492217",
"telephone_number": "973-663-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "174 EDISON RD",
"city": "LAKE HOPATCONG",
"state": "NJ",
"postal_code": "078492217",
"telephone_number": "973-663-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SKYLANDS URGENT CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-16",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "BONNET",
"authorized_official_first_name": "ANDRE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-663-2700",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Hopatcong, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.