| Organization Name: | CITY MEDICAL OF NEW JERSEY, PC |
| NPI Number: | 1316303340 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RICHARD PARK (MANAGING OWNER) |
| Mailing Address: | 1345 Rxr Plz Uniondale |
| State: | NY US |
| Postal Code: | 115561301 |
| Phone Number: | 5167834600 |
| Fax Number: | |
| NPI Enumeration Date: | 01/06/2016 |
| NPI Last Update Date: | 01/06/2016 |
| 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: | |