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URGENT CARE & WALK-IN MEDICAL SUITE
NPI 1659882082
Clinic/Center - Urgent Care in East Orange, NJ

Active since October 12, 2017CLIA 31D2154429 · Waiver
200 FREEWAY DR E STE 305, EAST ORANGE, NJ 07018(973) 370-4000(973) 370-4040 Get Directions Write a Review

NPPES record last updated: December 30, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 30, 2021, Nov 11, 2021, Mar 3, 2020 and 5 more (8 updates tracked since 2017).

About Urgent Care & Walk-in Medical Suite NPPES

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

URGENT CARE & WALK-IN MEDICAL SUITE (NPI 1659882082) is a healthcare organization registered as an urgent care in East Orange, New Jersey and active in the NPI registry since October 2017. The organization holds a CLIA Waiver certificate valid through September 11, 2026 and lists Blimy Jacobs, Billing & Credentialing Director, as its authorized official.

NPPES Registry Identity

NPI1659882082
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBMG EAST ORANGE LLC
Location Address200 FREEWAY DR E STE 305East Orange, NJ 07018
Mailing Address200 Freeway Dr E Ste 305East Orange, NJ 07018-3809 · (973) 370-4000 · Fax (862) 904-0044
Phone(973) 370-4000
Fax(973) 370-4040
Organization SubpartNo
Authorized OfficialBlimy JacobsBilling & Credentialing Director · (845) 662-2404
Enumeration DateOctober 12, 2017
Last NPPES UpdateDecember 30, 20218 updates tracked since enumeration
NPPES CertifiedDecember 30, 2021
✔ NPI 1659882082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA08818300 (NJ)
Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X · License 25MA08818300 (NJ)
200 FREEWAY DR E STE 305, East Orange, NJ 07018
Open in Google Maps ↗

Other Names 1

Doing Business AsUrgent Care & Walk-in Medical Suite

Other Identifiers 1

Medicaid0630390NJ

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 31D2154429

Bmg East Orange LLC · East Orange, NJ
Active · expires Sep 11, 2026
CLIA Number31D2154429
Laboratory TypeUrgent Care Center
Certificate Effective DateSeptember 12, 2024
Certificate Expiration DateSeptember 11, 2026
Laboratory DirectorMagdy Mahmoud
Laboratory Phone(973) 818-4240
Laboratory LocationBmg East Orange LLC200 Freeway Drive East Suite 305, East Orange, NJ 07018
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

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

ASHLI GAULETTE RN
Registered Nurse
200 FREEWAY DR E STE 305
EAST ORANGE, NJ 07018
Essex County (973) 310-2000

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 Bmg East Orange LLC's NPI number?

The NPI number for Bmg East Orange LLC is 1659882082. It was assigned to this organization in the NPPES registry on October 12, 2017. The provider is doing business as Urgent Care & Walk-In Medical Suite.

Where is Bmg East Orange LLC located?

Bmg East Orange LLC is located at 200 Freeway Dr E Ste 305, East Orange, NJ 07018. The listed phone number is (973) 370-4000.

What is Bmg East Orange LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Bmg East Orange LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D2154429) is associated with this NPI, valid through September 11, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bmg East Orange LLC was last updated on December 30, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.