# CITY MEDICAL OF NEW JERSEY, PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CITY MEDICAL OF NEW JERSEY, PC
- **Other names:** CityMD Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1215488952
- **Legal business name:** CITY MEDICAL OF NEW JERSEY, PC
- **Authorized official:** DR. RICHARD PARK M.D. (CEO)
- **Authorized official phone:** (516) 783-4600

## Contact information

- **Practice address:** 904 BAYONNE CROSSING WAY, BAYONNE, NJ 07002-5307
- **Practice address phone:** (201) 354-1957
- **Practice address fax:** (201) 354-1958
- **Mailing address:** 1345 RXR PLZ, UNIONDALE, NY 11556-1301
- **Mailing address phone:** (516) 783-4600
- **Mailing address fax:** (646) 846-3283

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2016
- **Last updated:** 09/26/2018