Organization Active NPI

Quick Care Medical 860 PLLC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1063839660
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
213978 Issued in NY
Legal business name
QUICK CARE MEDICAL 860 PLLC
Practice address
2046 86TH St
Brooklyn, NY 11214-3216
Phone
(718) 266-2284
Fax
(718) 266-2283
NPI assigned
Mar 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Charles W Lawrence, M.D.
Title
Doctor
Phone
(718) 680-0316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 213978 NY Primary

Addresses

Primary practice location

2046 86TH St
Brooklyn, NY 11214-3216

Mailing address

755-759 61St Street
Brooklyn, NY 11220
Phone (718) 680-0316

Other identifiers 1

IdentifierTypeStateIssuer
02008666MedicaidNY

National Provider Directory

National Provider Directory

Locations

2046 86th St
Brooklyn, NY 11214
Phone (718) 266-2284

NPI Registry JSON

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

{
    "created_epoch": "1395360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1063839660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755-759 61ST STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11220",
            "telephone_number": "718-680-0316",
            "fax_number": "718-680-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2046 86TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143216",
            "telephone_number": "718-266-2284",
            "fax_number": "718-266-2283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUICK CARE MEDICAL 860 PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-21",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "718-680-0316",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "213978",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02008666",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.