Provider Demographics
NPI:1316285091
Name:CENTRAL JERSEY URGENT CARE
Entity type:Organization
Organization Name:CENTRAL JERSEY URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KAITLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BOYLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-601-5392
Mailing Address - Street 1:731 HIGHWAY 35
Mailing Address - Street 2:UNIT G
Mailing Address - City:OCEAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07712-4765
Mailing Address - Country:US
Mailing Address - Phone:732-455-8444
Mailing Address - Fax:
Practice Address - Street 1:731 HIGHWAY 35
Practice Address - Street 2:UNIT G
Practice Address - City:OCEAN
Practice Address - State:NJ
Practice Address - Zip Code:07712-4765
Practice Address - Country:US
Practice Address - Phone:732-455-8444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-30
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies