NPI 1235359001 · live from the CMS NPI Registry
96th Street Urgent Care
Family Medicine in Stone Harbor, NJ. National Provider Identifier 1235359001, active.
NPI record
| NPI | 1235359001 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 376 96th St, Suite # 2, Stone Harbor, NJ 08247 |
| Practice phone | 609-368-3500 |
| Enumerated | April 26, 2007 |
| Last updated | August 22, 2020 |
| Authorized official | Tara Vogdes, Owner |
| Other names | 96th Street Urgent Care |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | mb72117 (NJ) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.