BMG EAST ORANGE LLC (NPI# 1659882082) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659882082 |
| Entity Type | Organization |
| Organization Name | BMG EAST ORANGE LLC |
| Other Organization Name | URGENT CARE & WALK-IN MEDICAL SUITE |
| Practice Address |
200 Freeway Dr E Ste 305 East Orange NJ 07018 |
| Mailing Address |
110 Squire Hill Rd Montclair NJ 07043-2516 |
| Practice Telephone | 9733704000 |
| Practice Fax Number | 9733704040 |
| Mailing Telephone | 9733704000 |
| Mailing Fax Number | 8629040044 |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | MS. SUZANNE PERRY (BILLING & CREDENTIALING DIRECTOR) |
| Authorized Official Telephone | 2075924939 |
| Authorized Official Credential | CREDENTIAL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 25MA08818300 | NJ | Allopathic & Osteopathic Physicians |
| N | 207RI0200X |
Internal Medicine Specialization: Infectious Disease |
25MA08818300 | NJ | Allopathic & Osteopathic Physicians |
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 0630390 | 05 |
| Other Name | Type Code |
|---|---|
| Brookside Medical Group | Doing Business As Name - Organization |
| Urgent Care & Medical Suite | Doing Business As Name - Organization |
| Urgent Care & Walk-in Medical Suite | Doing Business As Name - Organization |
| Street Address |
200 FREEWAY DR E STE 305 |
| City | EAST ORANGE |
| State | NJ |
| Zip Code | 07018 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265902373 | New Vision Therapeutic Counseling Services | Counselor | 137 Evergreen Place Suite 3a, East Orange, NJ 07018 | 2018-12-01 |
| 1528535465 | Chioma Eunice Agbo | Nurse Practitioner | 320 South Harrison Street, Apt 15 E, East Orange, NJ 07018 | 2018-10-29 |
| 1023596020 | Claremont Medical & Rehab Home Care Inc | Home Health | 134 Evertgreen Place, Suite 405, East Orange, NJ 07018 | 2018-08-01 |
| 1205314507 | Jaleesa Myers | Social Worker | 320 S Harrison St Apt 20a, East Orange, NJ 07018 | 2018-07-30 |
| 1609353390 | Simone Joyce Hairston | Dietitian, Registered | Va Department of Veteran Affairs, 385 Tremont Ave., East Orange, NJ 07018 | 2018-07-25 |
| 1184101024 | Tejumade Veronica Falae | Registered Nurse | 6o Evergreen Place, Suite 307, East Orange, NJ 07018 | 2018-07-24 |
| 1548618341 | Golden Years Day Care Inc. | Clinic/Center | 50 South Munn Ave, East Orange, NJ 07018 | 2016-06-02 |
| 1669833703 | Ashley Ciccarelli | Social Worker | 86 South Harrison Street, East Orange, NJ 07018 | 2016-03-17 |
| 1861866469 | Antoinette Parks | Case Manager/Care Coordinator | 86 South Harrison St, East Orange, NJ 07018 | 2015-11-19 |
| 1265803704 | Esther Park | Case Manager/Care Coordinator | 49 Evergreen Place, East Orange, NJ 07018 | 2015-10-09 |
| Find all providers in zip 07018 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457880 | Nextgenuc LLC | Clinic/Center | 481 S Washington Ave, Bergenfield, NJ 07621-4313 | 2020-11-03 |
| 1679172795 | Urgent Care Xpress Nj | Clinic/Center | 205 Glassworks Blvd, Cliffwood, NJ 07721-1324 | 2020-10-20 |
| 1679185904 | Md1 Medical Care, P.C. | Clinic/Center | 55 Lane Rd Ste 300, Fairfield, NJ 07004-1015 | 2020-08-18 |
| 1699305938 | Your Kids Urgent Care | Clinic/Center | 1286 Springfield Ave, New Providence, NJ 07974-2901 | 2020-01-24 |
| 1487205936 | Urgent Care of Nj | Clinic/Center | 2690 Woodbridge Ave, Edison, NJ 08837-3604 | 2019-09-26 |
| 1932762994 | Town Doctors LLC | Clinic/Center | 285 Kinderkamack Rd, Oradell, NJ 07649-2101 | 2019-04-16 |
| 1285192625 | Central Jersey Urgent Care | Clinic/Center | 142 Highway 35 Ste 103, Eatontown, NJ 07724-1864 | 2019-03-05 |
| 1710454442 | Urgent Ortho Care | Clinic/Center | 403 Grand Ave, Englewood, NJ 07631-4104 | 2018-10-31 |
| 1053896167 | City Medical of New Jersey, PC | Clinic/Center | 340 Grove St, Jersey City, NJ 07302-5905 | 2018-09-25 |
| 1780163923 | American Current Care of New Jersey, P.a. | Clinic/Center | 2542 Brunswick Pike, Lawrenceville, NJ 08648-4103 | 2018-08-08 |
| Find all providers with the same taxonomy | ||||
| City | EAST ORANGE |
| Zip Code | 07018 |
Please comment or provide details below to improve the information on BMG EAST ORANGE LLC.
| 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.