North Shore Lij Medical Group Urgent Medical Care, P.C

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

NORTH SHORE LIJ MEDICAL GROUP URGENT MEDICAL CARE, P.C

Practice address

145 Community Dr
Great Neck, NY 11021-5502

Phone

(516) 253-2844

NPI assigned

Mar 26, 2014

Organization subpart

No

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

Authorized official

Name

Melissa R Willis

Title

VP Revenue Cycle

Phone

(678) 279-2917

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733702400000",
    "number": "1033536297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GLENRIDGE CONNECTOR STE 700",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303424758",
            "telephone_number": "678-279-2917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 COMMUNITY DR",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215502",
            "telephone_number": "516-253-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE LIJ MEDICAL GROUP URGENT MEDICAL CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-12-09",
        "certification_date": "2024-12-09",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VP REVENUE CYCLE",
        "authorized_official_telephone_number": "678-279-2917"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• North Shore Internal Medicine Associates, P.C.
• North Shore Lij Physicians Group PC
• North Shore Long Island Jewish
• North Shore Long Island Jewish Health Care Inc
• North Shore Medical Arts, LLP
• North Shore Medical Asscoaites,PC

• Urgent Care Clinic/Center in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2024; 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.