| Organization Name: | JSR URGENT CARE LLC |
| NPI Number: | 1821445594 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOEL STEVEN ROSS (OWNER) |
| Mailing Address: | 140 Ocean Ave Monmouth Beach |
| State: | NJ US |
| Postal Code: | 077501271 |
| Phone Number: | 9084898760 |
| Fax Number: | 7322630024 |
| NPI Enumeration Date: | 05/23/2016 |
| NPI Last Update Date: | 05/23/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | MA04782100 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |