| Organization Name: | EMERGICARE OF CENTRAL NEW JERSEY, LLC |
| NPI Number: | 1225369952 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STUART M HOMER (PRESIDENT) |
| Mailing Address: | 1030 Saint Georges Ave Suite 201 Avenel |
| State: | NJ US |
| Postal Code: | 070011390 |
| Phone Number: | 7326020244 |
| Fax Number: | 7326022577 |
| NPI Enumeration Date: | 01/20/2010 |
| NPI Last Update Date: | 01/20/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |