Ralph Ave Urgent Care

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

RALPH AVE URGENT CARE

Practice address

3209 Milburn Ave
Baldwin, NY 11510-4932

Phone

(516) 867-6868

NPI assigned

Apr 1, 2021

Organization subpart

No

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

Authorized official

Name

Arthur Kornblit, MDNPI 1255413050

Title

Med Director

Phone

(516) 376-2453

Specialties & licenses 1

Addresses

Practitioners 1

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

• Arthur Kornblit, MD

  • Family Medicine Physician
  • Baldwin, NY
  • NPI 1255413050
  NPD Authorized official

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

{
    "created_epoch": "1617235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1043898729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 OCEANFRONT",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115613100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3209 MILBURN AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115104932",
            "telephone_number": "516-867-6868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3209 Milburn Ave",
            "address_purpose": "LOCATION",
            "city": "Baldwin",
            "state": "NY",
            "postal_code": "115104932",
            "country_code": "US",
            "telephone_number": "516-867-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RALPH AVE URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "KORNBLIT",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_title_or_position": "MED DIRECTOR",
        "authorized_official_telephone_number": "516-376-2453",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nyra Michelle Prescod
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• Mara Rapant, LCSW
• Anne Marie Reddick, RN
• Rehabsurge, Inc.
• Rehoboth Elderly Care and Companionship LLC
• Carmen Reid, FNP

• Clinic/Center in Baldwin, NY
• Providers in Baldwin, NY by specialty
• Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.