Provider Demographics
NPI:1316675440
Name:SAMEDAY DOCTORS NJ, PC
Entity type:Organization
Organization Name:SAMEDAY DOCTORS NJ, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHET
Authorized Official - Middle Name:
Authorized Official - Last Name:THARPE, M.D.
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-807-1373
Mailing Address - Street 1:320 LINCOLN BOULEVARD
Mailing Address - Street 2:
Mailing Address - City:VENICE
Mailing Address - State:CA
Mailing Address - Zip Code:90291
Mailing Address - Country:US
Mailing Address - Phone:310-807-1373
Mailing Address - Fax:
Practice Address - Street 1:300 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-3602
Practice Address - Country:US
Practice Address - Phone:310-807-1373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-08
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
No291U00000XLaboratoriesClinical Medical Laboratory