NPIMap

Organization Active NPI

UC of Mamaroneck, LLC

  • Urgent Care Clinic/Center
  • Mamaroneck, NY
National Provider Identifier
1023667482
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
UC OF MAMARONECK, LLC
Practice address
1030 W Boston Post Rd
Mamaroneck, NY 10543-3366
Phone
(860) 430-1246
NPI assigned
Sep 9, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jeannie M Kenkare, DO
Title
Managing Member
Phone
(203) 616-4440

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1030 W Boston Post Rd
Mamaroneck, NY 10543-3366

Mailing address

PO Box 1339
Glastonbury, CT 06033-6339
Phone (860) 650-3848

National Provider Directory

National Provider Directory

Locations

1030 W Boston Post Rd
Mamaroneck, NY 10543
Phone (860) 430-1246

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1023667482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1339",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060336339",
            "telephone_number": "860-650-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W BOSTON POST RD",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105433366",
            "telephone_number": "860-430-1246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UC OF MAMARONECK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-09",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "KENKARE",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-616-4440",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mamaroneck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.