URGI-MED FAMILY MEDICAL CENTER (NPI# 1639427495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639427495 |
| Entity Type | Organization |
| Organization Name | URGI-MED FAMILY MEDICAL CENTER |
| Practice Address |
400 Route 10 W Suite 1 and 2 Randolph NJ 07869-2104 |
| Practice Telephone | 9738911321 |
| Practice Fax Number | 9732065049 |
| Mailing Telephone | 9738911321 |
| Mailing Fax Number | 9732065049 |
| Enumeration Date | 2012-08-27 |
| Last Update Date | 2013-07-03 |
| Authorized Official Name | DR. PREMA PRASAD (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 9738911321 |
| Authorized Official Credential | M.D., |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Street Address |
400 ROUTE 10 W SUITE 1 AND 2 |
| City | RANDOLPH |
| State | NJ |
| Zip Code | 07869-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114490224 | Kyle Thomas Bergan | Registered Nurse | 400 Route 10 W, Randolph, NJ 07869-2104 | 2019-01-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398149 | Jaclyn Philbin | Dietitian, Registered | 11 Middlebury Boulevard, Suite 9/10, Randolph, NJ 07869 | 2020-05-19 |
| 1548806896 | Daniel Patrick Walsh | Physical Therapist | 390 Route Nj 10, Suite 202, Randolph, NJ 07869 | 2019-11-21 |
| 1518516061 | New Jersey Center for Cognitive and Dialectical Behavior Therapy | Clinic/Center | 1250 Sussex Tpke Ste N, Randolph, NJ 07869 | 2019-09-07 |
| 1396306031 | Marilyn (lynn) G Teale | Specialist/Technologist | 1248 Sussex Tpk, Unit B11, Randolph, NJ 07869 | 2019-06-24 |
| 1497218580 | Christopher Lamorte | Dentist | 390 Nj-10 West, Randolph, NJ 07869 | 2019-04-07 |
| 1982101309 | Essex County Weightloss, LLC | Family Medicine | 81 State Road 10 East, Randolph, NJ 07869 | 2018-04-11 |
| 1699285569 | Raechel Jean Lofaro | Nurse Practitioner | 8 Chestnut Hil Road, Randolph, NJ 07869 | 2017-10-05 |
| 1851800114 | Stephanie Jasinski | Counselor | 19 Harmony Rd, Randolph, NJ 07869 | 2017-09-29 |
| 1144739244 | Dickerson Dental Group, LLC | Dentist | 714 Route 10, Randolph, NJ 07869 | 2017-09-21 |
| 1053831479 | Melissa Morgan | Pediatrics | College Plaza Pediatrics, 765 Route 10 East, Ste 203, Randolph, NJ 07869 | 2017-06-27 |
| Find all providers in zip 07869 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851489231 | Raghunandan Medavaram Varma | Emergency Medicine | 7 Dolly Bridge Rd, Randolph, NJ 07869-3525 | 2006-10-10 |
| 1326072281 | Wayne Anton Misselbeck | Emergency Medicine | 36 S Main St, Gifford Medical Center Emergency Department, Randolph, VT 05060-1370 | 2006-07-10 |
| 1235188715 | Robert M Liegner | Emergency Medicine | 227 Center Grove Rd, Randolph, NJ 07869-2034 | 2006-05-10 |
| 1588623664 | Joshua White | Emergency Medicine | Gifford Medical Center, 44 South Main St., Randolph, VT 05060-1381 | 2006-03-20 |
| 1730384827 | Saul Nurok | Emergency Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2007-06-19 |
| 1922181635 | Steven J. Fisher | Emergency Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2006-10-24 |
| 1164530416 | Clyde Wendell Smith | Emergency Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2006-08-28 |
| 1659487247 | Larry A. Ermold | Emergency Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2006-08-23 |
| 1750497111 | Lucy J. Wollaeger | Emergency Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2006-08-21 |
| 1396851770 | William James Young | Emergency Medicine | 44 S Main St, Randolph, VT 05060-1381 | 2006-08-21 |
| Find all providers in RANDOLPH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.