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IMMEDI-CARE PA
NPI 1063670578
Clinic/Center - Health Service in Newark, NJ

Active since May 30, 2008
360 AVENUE P FL 3, NEWARK, NJ 07105(973) 643-8383(973) 491-6099 Get Directions Write a Review

NPPES record last updated: July 18, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Immedi-care Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMMEDI-CARE PA (NPI 1063670578) is a healthcare organization registered as a health service in Newark, New Jersey and active in the NPI registry since May 2008. The organization lists Dimitra Denise Pallis, Director Of Credentialing, as its authorized official.

NPPES Registry Identity

NPI1063670578
Entity TypeOrganization
Primary Taxonomy261QH0100X
Legal Business NameIMMEDI-CARE PA
Location Address360 AVENUE P FL 3Newark, NJ 07105
Mailing AddressPo Box 1296Clifton, NJ 07012-0796 · (973) 643-8383 · Fax (973) 491-6099
Phone(973) 643-8383
Fax(973) 491-6099
Organization SubpartNo
Authorized OfficialDimitra Denise PallisDirector Of Credentialing · (201) 874-9084
Enumeration DateMay 30, 2008
Last NPPES UpdateJuly 18, 2018
✔ NPI 1063670578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Health ServiceAmbulatory Health Care Facilities
Taxonomy Code261QH0100X
360 AVENUE P FL 3, Newark, NJ 07105
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Immedi-Care PA's NPI number?

The NPI number for Immedi-Care PA is 1063670578. It was assigned to this organization in the NPPES registry on May 30, 2008.

Where is Immedi-Care PA located?

Immedi-Care PA is located at 360 Avenue P Fl 3, Newark, NJ 07105. The listed phone number is (973) 643-8383.

What is Immedi-Care PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.

When was this NPI record last updated?

The NPPES record for Immedi-Care PA was last updated on July 18, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.