| Urban Medical Center, Inc. | |
|
95 Martin Luther King Jr Dr Jersey City NJ 07305-3025 | |
| (201) 469-6659 | |
| (201) 332-7003 |
| Full Name | Urban Medical Center, Inc. |
|---|---|
| Speciality | Pediatrics |
| Location | 95 Martin Luther King Jr Dr, Jersey City, New Jersey |
| Authorized Official Name and Position | Hyacinth Emenike Ucheagwu (PRESIDENT) |
| Authorized Official Contact | 2014696659 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Urban Medical Center, Inc. 129 Jewett Ave Jersey City NJ 07304-2003 Ph: (201) 469-6659 | Urban Medical Center, Inc. 95 Martin Luther King Jr Dr Jersey City NJ 07305-3025 Ph: (201) 469-6659 |
| NPI Number | 1205074960 |
|---|---|
| Provider Enumeration Date | 02/03/2009 |
| Last Update Date | 01/22/2013 |
| Medicare PECOS PAC ID | 5597918870 |
|---|---|
| Medicare Enrollment ID | O20130117000291 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205074960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 22DI01783400 (New Jersey) | Secondary |
| 208000000X | Pediatrics | 25MA08302800 (New Jersey) | Primary |
| Provider Name | Hyacinth E Ucheagwu |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1245420678 PECOS PAC ID: 4587817861 Enrollment ID: I20131206000004 |
| Provider Name | Doney Bharat Jain |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1720484777 PECOS PAC ID: 7012237449 Enrollment ID: I20150526001574 |
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