LAKEWOOD IMMEDIATE CARE
NPI 1548636301
Internal Medicine in Lakewood, NJ

Active since August 17, 2015CLIA 31D2112175 · Waiver
1700 MADISON AVE, LAKEWOOD, NJ 08701(908) 315-5602 Get Directions Write a Review

NPPES record last updated: September 27, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lakewood Immediate Care NPPES

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

LAKEWOOD IMMEDIATE CARE (NPI 1548636301) is a healthcare organization registered as an internal medicine in Lakewood, New Jersey and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Anne C Fish, Ceo, as its authorized official.

NPPES Registry Identity

NPI1548636301
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLAKEWOOD IMMEDIATE CARE
Location Address1700 MADISON AVELakewood, NJ 08701-1253
Mailing Address1700 Madison AveLakewood, NJ 08701-1253
Organization SubpartNo
Authorized OfficialAnne C FishCeo · (212) 734-6621
Enumeration DateAugust 17, 2015
Last NPPES UpdateSeptember 27, 2023
NPPES CertifiedSeptember 27, 2023
NPI 1548636301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1700 MADISON AVE, Lakewood, NJ 08701

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D2112175

Lakewood Immediate Care · Lakewood, NJ
Active · expires Apr 24, 2028
CLIA Number31D2112175
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorSamuel Preschel
Laboratory Phone(732) 987-6149
Laboratory LocationLakewood Immediate Care1700 Madison Avenue, Lakewood, NJ 08701
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
1700 MADISON AVE
LAKEWOOD, NJ 08701
Chiropractor
1700 MADISON AVE
LAKEWOOD, NJ 08701
Chiropractor
1700 MADISON AVE
LAKEWOOD, NJ 08701
Chiropractor
1700 MADISON AVE
LAKEWOOD, NJ 08701
Dentist (General Practice)
1700 MADISON AVE
LAKEWOOD, NJ 08701
Podiatrist (Foot Surgery)
1700 MADISON AVE
LAKEWOOD, NJ 08701
Optometrist
1700 MADISON AVE
LAKEWOOD, NJ 08701
Pharmacist
1700 MADISON AVE
LAKEWOOD, NJ 08701

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 Lakewood Immediate Care's NPI number?

The NPI number for Lakewood Immediate Care is 1548636301. It was assigned to this organization in the NPPES registry on August 17, 2015.

Where is Lakewood Immediate Care located?

Lakewood Immediate Care is located at 1700 Madison Ave, Lakewood, NJ 08701. The listed phone number is (908) 315-5602.

What is Lakewood Immediate Care's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Lakewood Immediate Care hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2112175) is associated with this NPI, valid through April 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Lakewood Immediate Care was last updated on September 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.