Active NPIOrganization

96TH Street Urgent Care

Family Medicine in Stone Harbor, New Jersey

NPI Number1235359001
Practice location
376 96TH St, Suite # 2, Stone Harbor, NJ 08247-1404
Fax
609-967-0077
Last updated
August 22, 2020

96TH Street Urgent Care is a healthcare organization based in Stone Harbor, NJ. 96TH Street Urgent Care practices in Stone Harbor, NJ. The NPI Number for 96TH Street Urgent Care is 1235359001 and holds a License No. mb72117 (NJ). The current practice location address for 96TH Street Urgent Care is 376 96TH St, Suite # 2, Stone Harbor, NJ 08247-1404 and can be reached out via phone at 609-368-3500 and via fax at 609-967-0077.

Provider Profile Details

NPI Number
1235359001
Provider Name
96TH Street Urgent Care
Provider Entity Type
Organization
Address
376 96TH St, Suite # 2, Stone Harbor, NJ 08247-1404
Phone Number
609-368-3500
Fax Number
609-967-0077
Primary Taxonomy
Family Medicine · 207Q00000X
Organization Subpart
No
Authorized Official
Dr. Tara A Vogdes, DO · Owner · 609-967-0070
Other Names
96TH Street Urgent Care (Doing Business As)
Provider Enumeration Date
April 26, 2007
Last Update Date
August 22, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
376 96TH St
Suite # 2
Stone Harbor, NJ 08247-1404
Zip
08247-1404
Phone Number
609-368-3500
Fax Number
609-967-0077
Stone Harbor, NJ 08247Get directions →

Provider Business Mailing Address Details

Address
376 96TH St
Suite # 2
Stone Harbor, NJ 08247-1404
City
Stone Harbor
State
NJ
Zip
08247-1404
Phone Number
609-368-3500
Fax Number
609-967-0077

License Information

License Number
mb72117
License State
NJ
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of 96TH Street Urgent Care?

The NPI number of 96TH Street Urgent Care is 1235359001. It was assigned on April 26, 2007 and is currently active in the NPPES registry.

What is the specialty of 96TH Street Urgent Care?

96TH Street Urgent Care is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in NJ under license number mb72117.

Where does 96TH Street Urgent Care practice?

The practice location is 376 96TH St, Suite # 2, Stone Harbor, NJ 08247-1404. The office can be reached at 609-368-3500 (phone) or 609-967-0077 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1235359001 directly on the NPPES registry website.

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