AGILE URGENT CARE OF SECAUCUS LLC
NPI 1811345861
Clinic/Center - Urgent Care in Secaucus, NJ

NPI Status: Active since June 01, 2016

Contact Information

20 MEADOWLANDS PKWY
SECAUCUS, NJ
ZIP 07094
Phone: (732) 887-2011
Fax: (732) 587-5486

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  • Organization
  • Clinic/Center
  • Urgent Care
  • CLIA Number: 31D2143163
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 01-24-2026

About AGILE URGENT CARE OF SECAUCUS LLC

This page provides the complete NPI Profile along with additional information for Agile Urgent Care Of Secaucus Llc, a provider established in Secaucus, New Jersey operating as a Clinic/center, focusing in urgent care . The healthcare provider is registered in the NPI registry with number 1811345861 assigned on June 2016. The practitioner's primary taxonomy code is 261QU0200X with license number 25055 (NJ). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Mr. Raj Shah (Owner)

NPI
1811345861
Provider Name
AGILE URGENT CARE OF SECAUCUS LLC
Entity Type
Organization
Location Address
20 MEADOWLANDS PKWY SECAUCUS, NJ 07094
Location Phone
(732) 887-2011
Location Fax
(732) 587-5486
Mailing Address
24 GAUGUIN WAY SOMERSET, NJ 08873
Mailing Phone
(732) 887-2011
Mailing Fax
(732) 587-5486
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-01-2016
Last Update Date
08-17-2017
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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
License No.
25055
License State
NJ

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. RAJ SHAH

Authorized Official Title
OWNER
Authorized Official Phone
(732) 887-2011

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
31D2143163
Facility Type
Physician Office
Certificate Effective Date
January 25, 2024
Certificate Expiration Date
January 24, 2026
Laboratory Director
RAJ SHAH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Agile Urgent Care Of Secaucus 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.

Reviews for AGILE URGENT CARE OF SECAUCUS LLC

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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.
1811345861
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28216410812
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 2 + 1 + 6 + 4 + 1 + 0 + 8 + 1 + 2 + 24 = 59
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 59 = 11

The NPI number 1811345861 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1285193904IMOVE THERAPY LLC
Organization
Physical Therapist (Orthopedic)20 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
(732) 322-5185
1972283232GARDEN STATE ADULT MEDICAL DAY CARE CENTER LLC
Organization
Clinic/Center (Adult Day Care)20 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
(201) 407-9757
1518732999AGILE URGENT CARE LLC
Organization
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))20 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
(201) 381-4800
1578264453AGILE URGENT CARE LLC
Organization
Clinic/Center (Urgent Care)20 MEADOWLANDS PKWY
SECAUCUS, NJ 07094
(201) 381-4800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1811345861, enumerated in the NPI registry as an "organization" on June 01, 2016

The provider is located at 20 Meadowlands Pkwy Secaucus, Nj 07094 and the phone number is (732) 887-2011

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

The provider's CLIA number is 31D2143163 for a "physician office" 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 June 01, 2016. 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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