OrganizationActive
Immedi-Care PA
NPI 1063670578 · Health Service Clinic/Center · Newark, NJ
Immedi-Care PA is a Health Service Clinic/Center organization in Newark, NJ (NPI 1063670578).
Provider details
- NPI number
- 1063670578
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dimitra Pallis, Director of Credentialing(201) 874-9084
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
360 Avenue P Fl 3
Newark, NJ 07105
Phone: (973) 643-8383
Fax: (973) 491-6099
Street-level locationGet directions
Mailing address
Po Box 1296
Clifton, NJ 07012-0796
Registry dates
- Enumerated
- 2008-05-30
- Last updated
- 2018-07-18
Frequently asked questions
- What is Immedi-Care PA's NPI number?
- Immedi-Care PA's National Provider Identifier (NPI) is 1063670578, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immedi-Care PA?
- Immedi-Care PA is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Immedi-Care PA located?
- Immedi-Care PA's practice location on file with NPPES is 360 Avenue P Fl 3, Newark, NJ 07105.
- What is Immedi-Care PA's phone number?
- The practice phone number listed in the NPPES registry for Immedi-Care PA is (973) 643-8383.
- Who is the authorized official for Immedi-Care PA?
- The authorized official listed on Immedi-Care PA's NPPES record is Dimitra Pallis, Director of Credentialing. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immedi-Care PA's NPI active?
- Yes — Immedi-Care PA's NPI (1063670578) is active in the NPPES registry as of the last update on 2018-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.