OrganizationActive
Immedicenter
NPI 1275639031 · Family Medicine Physician · Clifton, NJ
Immedicenter is a Family Medicine Physician organization in Clifton, NJ (NPI 1275639031).
Provider details
- NPI number
- 1275639031
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Maria Squirlock, Administrator(973) 778-5566
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
1355 Broad St
Clifton, NJ 07013-4221
Phone: (973) 778-5566
Fax: (973) 778-4044
Street-level locationGet directions
Mailing address
1355 Broad St
Clifton, NJ 07013-4221
Registry dates
- Enumerated
- 2006-09-16
- Last updated
- 2009-03-18
Frequently asked questions
- What is Immedicenter's NPI number?
- Immedicenter's National Provider Identifier (NPI) is 1275639031, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Immedicenter?
- Immedicenter is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Immedicenter located?
- Immedicenter's practice location on file with NPPES is 1355 Broad St, Clifton, NJ 07013-4221.
- What is Immedicenter's phone number?
- The practice phone number listed in the NPPES registry for Immedicenter is (973) 778-5566.
- Who is the authorized official for Immedicenter?
- The authorized official listed on Immedicenter's NPPES record is Maria Squirlock, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Immedicenter's NPI active?
- Yes — Immedicenter's NPI (1275639031) is active in the NPPES registry as of the last update on 2009-03-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.