CRESCENT MEDICAL GROUP PC (NPI# 1669027140) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669027140 |
| Entity Type | Organization |
| Organization Name | CRESCENT MEDICAL GROUP PC |
| Practice Address |
540 Straight St Ste 2b Paterson NJ 07503-3240 |
| Mailing Address |
110 Squire Hill Rd Montclair NJ 07043-2516 |
| Practice Telephone | 9733704000 |
| Practice Fax Number | 9733704040 |
| Mailing Telephone | 9733704000 |
| Mailing Fax Number | 9733704040 |
| Enumeration Date | 2019-08-02 |
| Last Update Date | 2020-03-03 |
| Authorized Official Name | DR. SEKULEO GATHERS (OWNER) |
| Authorized Official Telephone | 9175337354 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WP0000X |
Registered Nurse Specialization: Pain Management |
Nursing Service Providers | ||
| N | 207K00000X | Allergy & Immunology | Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Street Address |
540 STRAIGHT ST STE 2B |
| City | PATERSON |
| State | NJ |
| Zip Code | 07503-3240 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265089734 | Blue Star Urgent Care | Registered Nurse | 540 Straight St Ste 2b, Paterson, NJ 07503-3240 | 2019-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669001426 | Kevin Vasquez | Student in an Organized Health Care Education/Training Program | St. Joseph's University Medical Hospital 703 Main St, Paterson, NJ 07503 | 2020-04-03 |
| 1689210346 | Denisa Stojakova | Internal Medicine | 37 Crooks Ave Ste 43, Paterson, NJ 07503 | 2019-11-18 |
| 1295206563 | Safa Travel LLC | Taxi | 205 Illinois Ave Fl 2, Paterson, NJ 07503 | 2018-12-16 |
| 1740780980 | Icp2 LLC | Pharmacy | 661main Street, Paterson, NJ 07503 | 2018-02-14 |
| 1194224329 | Reliable Laboratory | Clinical Medical Laboratory | 37 Crooks Avenue #43, Paterson, NJ 07503 | 2018-02-02 |
| 1487178703 | Field of Vision Services, LLC | Community/Behavioral Health | 235 Dakota St. Unit 1, Paterson, NJ 07503 | 2017-07-28 |
| 1982125043 | Saera Watanabe | Student in an Organized Health Care Education/Training Program | 703 Main Street, St. Joseph's Regional Medical Center, Department of Pediatrics, Paterson, NJ 07503 | 2017-06-29 |
| 1396266680 | Tulip Obgyn LLC | Obstetrics & Gynecology | 991 Main St Ste 2b, Paterson, NJ 07503 | 2017-06-28 |
| 1194251421 | Straight and Narrow, Inc | Substance Abuse Rehabilitation Facility | 410 Straight Street, Paterson, NJ 07503 | 2017-05-05 |
| 1083160956 | St. Josephs Regional Medical Center | Student in an Organized Health Care Education/Training Program | 400 Hospital Plaza, Paterson, NJ 07503 | 2016-08-30 |
| Find all providers in zip 07503 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003335662 | Parkway Med Urgent Care PC | Clinic/Center | 143 W Broadway, Paterson, NJ 07522-2007 | 2017-09-14 |
| 1871011197 | Parkway Urgent Care | Clinic/Center | 145 W Broadway, Paterson, NJ 07522-2075 | 2017-09-07 |
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|---|---|---|---|---|
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| 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 | ||||
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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.