Organization Active NPI

Montague Urgent Medical Care P.C

  • Urgent Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1083082069
Registry record updated Sep 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
205420 Issued in NY
Legal business name
MONTAGUE URGENT MEDICAL CARE P.C
Practice address
109 Montague St
Brooklyn, NY 11201-3437
Phone
(212) 242-4333
Fax
(212) 242-4389
NPI assigned
Sep 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2015

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

Authorized official

Name
Dr. Patrick P Ko, M.D
Title
M.D
Phone
(212) 242-4333

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 205420 NY Primary

Addresses

Primary practice location

109 Montague St
Brooklyn, NY 11201-3437

Mailing address

109 Montague St
Brooklyn, NY 11201-3437
Phone (212) 242-4333

Other identifiers 1

IdentifierTypeStateIssuer
01822499MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441756800000",
    "number": "1083082069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013437",
            "telephone_number": "212-242-4333",
            "fax_number": "212-242-4389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MONTAGUE ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112013437",
            "telephone_number": "212-242-4333",
            "fax_number": "212-242-4389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTAGUE URGENT MEDICAL CARE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-09",
        "last_updated": "2015-09-09",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "212-242-4333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "205420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01822499",
            "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 Sep 9, 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.