URGENT CARE & WALK-IN MEDICAL SUITE – NPI #1659882082
Clinic/Center

URGENT CARE & WALK-IN MEDICAL SUITE is an AHC clinic located in EAST ORANGE, NJ. NPPES has assigned the NPI number 1659882082 to URGENT CARE & WALK-IN MEDICAL SUITE on October 12, 2017. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “URGENT CARE & WALK-IN MEDICAL SUITE” is a dba name, the actual legal business name for this organization is BMG EAST ORANGE LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QU0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Urgent Care

The NPI profile was previously updated about 4 years ago on Dec 30, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for URGENT CARE & WALK-IN MEDICAL SUITE below.

NPI Profile for
BMG EAST ORANGE LLC

NPI Number
1659882082
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BMG EAST ORANGE LLC
Doing Business As (dba): URGENT CARE & WALK-IN MEDICAL SUITE
Primary location
200 FREEWAY DR E STE 305
EAST ORANGE, NJ 07018
Phone: (973) 370-4000 Fax: (973) 370-4040
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
BLIMY JACOBS
BILLING & CREDENTIALING DIRECTOR
Phone: (845) 662-2404
Updated
Certification Date
Dec 30, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for URGENT CARE & WALK-IN MEDICAL SUITE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNJ0630390
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QU0200X
- Clinic/Center / Urgent Care (Primary)
207RI0200X
- Internal Medicine / Infectious Disease
NJ 25MA08818300
207R00000X
- Internal Medicine
NJ 25MA08818300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

Endpoint
http://www.urgentcaresuite.com/
Endpoint type
Other URL
Endpoint Description
WEBSITE
Content Type
OTHER
Affiliation
N
Endpoint Location
200 FREEWAY DR E STE 305,
EAST ORANGE, NJ 77025-1669