Active NPIOrganization

Bmg East Orange LLC

Clinic/Center, Urgent Care in East Orange, New Jersey

NPI Number1659882082
Practice location
200 Freeway Dr E Ste 305, East Orange, NJ 07018
Fax
973-370-4040
Last updated
December 30, 2021

Bmg East Orange LLC is a healthcare organization based in East Orange, NJ. Bmg East Orange LLC practices in East Orange, NJ. The NPI Number for Bmg East Orange LLC is 1659882082 and holds a License No. 25MA08818300 (NJ). The current practice location address for Bmg East Orange LLC is 200 Freeway Dr E Ste 305, East Orange, NJ 07018 and can be reached out via phone at 973-370-4000 and via fax at 973-370-4040.

Provider Profile Details

NPI Number
1659882082
Provider Name
Bmg East Orange LLC
Provider Entity Type
Organization
Address
200 Freeway Dr E Ste 305, East Orange, NJ 07018
Phone Number
973-370-4000
Fax Number
973-370-4040
Primary Taxonomy
Clinic/Center, Urgent Care · 261QU0200X
Organization Subpart
No
Authorized Official
Ms. Blimy Jacobs, CREDENTIAL · Billing & Credentialing Director · 845-662-2404
Other Names
Urgent Care & Walk-In Medical Suite (Doing Business As)
Provider Enumeration Date
October 12, 2017
Last Update Date
December 30, 2021
Certification Date
December 30, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Freeway Dr E Ste 305
East Orange, NJ 07018
Zip
07018
Phone Number
973-370-4000
Fax Number
973-370-4040
East Orange, NJ 07018Get directions →

Provider Business Mailing Address Details

Address
200 Freeway Dr E Ste 305
East Orange, NJ 07018-3809
City
East Orange
State
NJ
Zip
07018-3809
Phone Number
973-370-4000
Fax Number
862-904-0044

License Information

License Number (1)
25MA08818300
License State (1)
NJ
Taxonomy (1)
Internal Medicine, Infectious Disease · 207RI0200X
License Number (2)
25MA08818300
License State (2)
NJ
Taxonomy (2)
Internal Medicine · 207R00000X
Taxonomy (3)
Clinic/Center, Urgent Care · 261QU0200X · 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 Bmg East Orange LLC?

The NPI number of Bmg East Orange LLC is 1659882082. It was assigned on October 12, 2017 and is currently active in the NPPES registry.

What is the specialty of Bmg East Orange LLC?

Bmg East Orange LLC is registered under the primary taxonomy Clinic/Center, Urgent Care (code 261QU0200X), licensed in NJ under license number 25MA08818300.

Where does Bmg East Orange LLC practice?

The practice location is 200 Freeway Dr E Ste 305, East Orange, NJ 07018. The office can be reached at 973-370-4000 (phone) or 973-370-4040 (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 1659882082 directly on the NPPES registry website.

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