Provider Demographics
NPI:1336724640
Name:URGENT-C ROOM
Entity type:Organization
Organization Name:URGENT-C ROOM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YEHOSHUA
Authorized Official - Middle Name:
Authorized Official - Last Name:KESSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-784-8864
Mailing Address - Street 1:15 CRANBERRY CT
Mailing Address - Street 2:
Mailing Address - City:JACKSON
Mailing Address - State:NJ
Mailing Address - Zip Code:08527-5165
Mailing Address - Country:US
Mailing Address - Phone:732-784-8864
Mailing Address - Fax:
Practice Address - Street 1:15 CRANBERRY CT
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:NJ
Practice Address - Zip Code:08527-5165
Practice Address - Country:US
Practice Address - Phone:732-784-8864
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-17
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty