# MEDEXPRESS URGENT CARE - NORTHERN NEW JERSEY, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MedExpress Urgent Care - Hackettstown, Mountain Ave
- **Organization subpart:** No

## Provider details

- **NPI number:** 1750830030
- **Authorized official:** BRETT GALL (DIRECTOR PAYOR CONTRACTING)
- **Authorized official phone:** (304) 225-2500

## Contact information

- **Practice address:** 228 MOUNTAIN AVE, HACKETTSTOWN, NJ 07840-2409
- **Practice address phone:** (908) 852-2470
- **Practice address fax:** (908) 850-1730
- **Mailing address:** 1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
- **Mailing address phone:** (304) 225-2500
- **Mailing address fax:** (724) 743-1133

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | — | NULL | — |
| 207P00000X | Emergency Medicine Physician | — | — | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/27/2016
- **Last updated:** 01/31/2019