Crescent Medical Group PC
Clinic/Center, Urgent Care in Roselle Park, NJ. Organization (NPI-2).
NPI number1669027140
StatusActive
Last updated in NPPESJul 29, 2025
Details
- NPI
- 1669027140
- Entity type
- Organization (NPI-2)
- Legal business name
- Crescent Medical Group PC
- Organization subpart
- No
- Enumeration date
- Aug 2, 2019
- Certification date
- Jul 29, 2025
- Last updated
- Jul 29, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QU0200X | Clinic/Center, Urgent Care | – | – | Yes |
| 207P00000X | Emergency Medicine | – | – | |
| 207Q00000X | Family Medicine | – | – | |
| 207R00000X | Internal Medicine | – | – | |
| 261QP2300X | Clinic/Center, Primary Care | – | – |
Practice location
141 Chestnut St Ste 202Roselle Park, NJ 07204-2282
Phone 908-280-9600 · Fax 908-248-9390
Mailing address
141 Chestnut St Ste 202Roselle Park, NJ 07204-2282
Phone 908-280-9600 · Fax 908-248-9390
Authorized official
Hr Manager
Owner
9737770000
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