Brookside Urgent Care Center
LBN: Everest Ucc Wayne Llc
Brookside Urgent Care Center is an health care organization with primary practice located at 705 Hamburg Tpke , Wayne NJ 07470-2098. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Ambulatory Health Care Facilities / Occupational Medicine. Ambulatory Health Care Facilities / Urgent Care is the primary health care specialty.
Everest Ucc Wayne Llc can be contacted via phone (973) 650-2009, or through Mahmoud, Magdy via phone (973) 650-2009.
Contact Information
Primary practice address
705 Hamburg Tpke
Wayne NJ 07470-2098
Phone: (973) 650-2009
Fax: (253) 650-2009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Urgent Care | 261QU0200X | ||
| Ambulatory Health Care Facilities / Occupational Medicine | 261QX0100X |
Profile Details
| NPI number | 1578948121 |
|---|---|
| LBN Legal business name | Everest Ucc Wayne Llc |
| DBA Doing business as | Brookside Urgent Care Center |
| Authorized official | Mahmoud, Magdy |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 24th, 2015 |
| Last updated | Sep 7th, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1578948121 | NPPES |
| New Jersey | MEDICAID | 8234400 |
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