# BMG EAST ORANGE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Urgent Care & Walk-in Medical Suite
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659882082
- **Authorized official:** MS. BLIMY JACOBS CREDENTIAL (BILLING & CREDENTIALING DIRECTOR)
- **Authorized official phone:** (845) 662-2404

## Contact information

- **Practice address:** 200 FREEWAY DR E STE 305, EAST ORANGE, NJ 07018
- **Practice address phone:** (973) 370-4000
- **Practice address fax:** (973) 370-4040
- **Mailing address:** 200 FREEWAY DR E STE 305, EAST ORANGE, NJ 07018-3809
- **Mailing address phone:** (973) 370-4000
- **Mailing address fax:** (862) 904-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA08818300 | NJ | — |
| 207RI0200X | Infectious Disease Physician | 25MA08818300 | NJ | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/12/2017
- **Last updated:** 12/30/2021