NPIMap

Organization Active NPI

Urgent Care Medical, P.C.

  • Urgent Care Clinic/Center
  • Forest Hills, NY
National Provider Identifier
1073996211
Registry record updated Jul 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
202905 Issued in NY
Legal business name
URGENT CARE MEDICAL, P.C.
Practice address
11201 75TH Ave
Forest Hills, NY 11375-5633
Phone
(718) 268-6808
Fax
(718) 268-6858
NPI assigned
Jul 7, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2015

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

Authorized official

Name
Mr. Waiho Lum, MDNPI 1609837384
Title
Director
Phone
(718) 268-6808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 202905 NY Primary

Addresses

Primary practice location

11201 75TH Ave
Forest Hills, NY 11375-5633

Mailing address

11201 75TH Ave
Forest Hills, NY 11375-5633
Phone (718) 268-6808

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1436227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1073996211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11201 75TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755633",
            "telephone_number": "718-268-6808",
            "fax_number": "718-268-6858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11201 75TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755633",
            "telephone_number": "718-268-6808",
            "fax_number": "718-268-6858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-07",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "LUM",
        "authorized_official_first_name": "WAIHO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-268-6808",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "202905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.