Organization
AGILE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HETAL RAO (DIRECTOR)
(201) 289-1790
Entity
Organization
Contact information
Practice address
20 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2944
(201) 381-4800
Mailing address
20 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2944
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
261QR0200X
Radiology Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25055
PRIMARY CARE AMBULATORY CARE LICENSE
NJ
Enumeration date
03/16/2023
Last updated
02/06/2024
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