NJUCARE LLC
NPI 1770240707
Clinic/Center - Urgent Care in Roselle Park, NJ

NPI Status: Active since November 24, 2021

Contact Information

141 CHESTNUT ST STE 201
ROSELLE PARK, NJ
ZIP 07204
Phone: (973) 210-4000
Fax: (973) 370-4040

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 31D2246669
  • CLIA Cert. Type: Other - URGENT CARE
  • CLIA Exp. Date: 12-27-2025

About NJUCARE LLC

This page provides the complete NPI Profile along with additional information for Njucare Llc, a provider established in Roselle Park, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1770240707 assigned on November 2021. The practitioner's primary taxonomy code is 261QU0200X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mr. Magdy F Mahmoud (Registered Agent)

NPI
1770240707
Provider Name
NJUCARE LLC
Entity Type
Organization
Location Address
141 CHESTNUT ST STE 201 ROSELLE PARK, NJ 07204
Location Phone
(973) 210-4000
Location Fax
(973) 370-4040
Mailing Address
110 SQUIRE HILL RD MONTCLAIR, NJ 07043
Mailing Phone
(973) 370-4000
Mailing Fax
(973) 370-4040
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-24-2021
Last Update Date
06-15-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Urgent Care

Taxonomy Code
261QU0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MAGDY F MAHMOUD

Authorized Official Title
REGISTERED AGENT
Authorized Official Phone
(973) 210-4000

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
31D2246669
Facility Type
Other - URGENT CARE
Certificate Effective Date
December 28, 2023
Certificate Expiration Date
December 27, 2025
Laboratory Director
YOSEF GOLDFEDER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Njucare Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770240707
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714044070
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 4 + 4 + 0 + 7 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1770240707 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1598455529NJUCARE LLC
Organization
Clinic/Center141 CHESTNUT ST STE 201
ROSELLE PARK, NJ 07204
(973) 210-4000
1457034951 TASHA LEE GODBOLT
Individual
Family Medicine (Adult Medicine)141 CHESTNUT ST STE 201
ROSELLE PARK, NJ 07204
(973) 223-2933

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770240707, enumerated in the NPI registry as an "organization" on November 24, 2021

The provider is located at 141 Chestnut St Ste 201 Roselle Park, Nj 07204 and the phone number is (973) 210-4000

This medical organization specializes in Clinic/Center with taxonomy code 261QU0200X with a focus in Urgent Care

The provider's CLIA number is 31D2246669 for a "other - urgent care" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 24, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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