Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Immedicenter

Organization Family Medicine Physician · NPI 1275639031

Immedicenter provides Family Medicine Physician services in Clifton, New Jersey. Registered with an NPI since 2006.

In the registry since
2006

Practice location Address checks out

1355 Broad St
Clifton, NJ 07013-4221 Not confirmed with CMS for 17 years — call before visiting
Phone: (973) 778-5566
Fax: (973) 778-4044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1275639031
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Maria Squirlock — Administrator · (973) 778-5566
NPI enumeratedSeptember 16, 2006
Last updated in NPPESMarch 18, 2009
Mailing address1355 Broad St, Clifton, NJ 07013-4221

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