Provider Demographics
NPI:1144326075
Name:SOMERSET WALK-IN CLINIC, P.C.
Entity type:Organization
Organization Name:SOMERSET WALK-IN CLINIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SUKHDEV
Authorized Official - Middle Name:
Authorized Official - Last Name:AMARNANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:908-685-8000
Mailing Address - Street 1:64 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MANVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08835-1864
Mailing Address - Country:US
Mailing Address - Phone:908-685-8000
Mailing Address - Fax:908-232-3732
Practice Address - Street 1:64 S MAIN ST
Practice Address - Street 2:
Practice Address - City:MANVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08835-1864
Practice Address - Country:US
Practice Address - Phone:908-685-8000
Practice Address - Fax:908-232-3732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-16
Last Update Date:2023-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QP2300X
NJ25MA070959261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ8250502Medicaid
NJ042063Medicare ID - Type Unspecified
NJH24004Medicare UPIN