Organization Active NPI

Family Urgent Care Clinic, PLLC

  • Urgent Care Clinic/Center
  • Scranton, PA
National Provider Identifier
1033459094
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FAMILY URGENT CARE CLINIC, PLLC
Practice address
1831 Pittston Ave
Left Building
Scranton, PA 18505-1651
Phone
(570) 507-9517
Fax
(570) 507-9520
NPI assigned
Feb 27, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Authorized official

Name
Dr. Rajaa Nebbari, M.D.
Title
Tax Matters Member
Phone
(570) 780-4552

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1831 Pittston Ave
Left Building
Scranton, PA 18505-1651

Mailing address

1831 Pittston Ave
Left Building
Scranton, PA 18505-1651
Phone (570) 507-9517

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1423612800000",
    "number": "1033459094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 PITTSTON AVE",
            "address_2": "LEFT BUILDING",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051651",
            "telephone_number": "570-507-9517",
            "fax_number": "570-507-9520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1831 PITTSTON AVE",
            "address_2": "LEFT BUILDING",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185051651",
            "telephone_number": "570-507-9517",
            "fax_number": "570-507-9520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY URGENT CARE CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2015-02-11",
        "status": "A",
        "authorized_official_last_name": "NEBBARI",
        "authorized_official_first_name": "RAJAA",
        "authorized_official_title_or_position": "TAX MATTERS MEMBER",
        "authorized_official_telephone_number": "570-780-4552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.