NPIMap

Organization Active NPI

Immediate Care East Walk-in Medical Treatment, PLLC

  • Urgent Care Clinic/Center
  • Victor, NY
National Provider Identifier
1053465351
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
211789 Issued in NY
Legal business name
IMMEDIATE CARE EAST WALK-IN MEDICAL TREATMENT, PLLC
Practice address
1600 Moseley Rd
Victor, NY 14564-9738
Phone
(585) 582-1202
NPI assigned
Jan 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Maureen D. McRae, MD
Title
Owner
Phone
(585) 582-1201

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 211789 NY Primary

Addresses

Primary practice location

1600 Moseley Rd
Victor, NY 14564-9738

Mailing address

1600 Moseley Rd
Victor, NY 14564-9738
Phone (585) 582-1202

National Provider Directory

National Provider Directory

Locations

1600 Moseley Rd
Ste 300
Victor, NY 14564
Phone (585) 340-7287

1600 Moseley Rd
Ste 7
Victor, NY 14564
Phone (585) 398-1275

Practitioners & affiliated clinicians

Practitioners 9

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": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1053465351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 MOSELEY RD",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649738",
            "telephone_number": "585-582-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MOSELEY RD",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145649738",
            "telephone_number": "585-582-1202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMMEDIATE CARE EAST WALK-IN MEDICAL TREATMENT, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCRAE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "585-582-1201",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "211789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.