Active NPI
Immediate Medical Care Associates, PLLC
- Emergency Care Clinic/Center
- Camillus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- IMMEDIATE MEDICAL CARE ASSOCIATES, PLLC
- Practice address
- 5700 W Genesee St
Suite 100 South
Camillus, NY 13031-3200 - Phone
- (315) 488-6393
- Fax
- (315) 488-5854
- NPI assigned
- Dec 1, 2005
- Last updated
- Dec 10, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alan Mancusi-Ungaro, M.D.
- Title
- Senior Partner
- Phone
- (315) 488-6393
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | NU | Primary |
Addresses
Primary practice location
5700 W Genesee St
Suite 100 South
Camillus, NY 13031-3200
Mailing address
5700 W Genesee St
Suite 100 South
Camillus, NY 13031-3200
Phone (315) 488-6393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 930066333 | Other | NY | MEDICARE RAILROAD |
| 930066334 | Other | NY | MEDICARE RAILROAD |
National Provider Directory
National Provider DirectoryLocations
5700 W Genesee St
Ste 100
Camillus, NY 13031
Phone (315) 487-5337
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Emergency Medicine Physician
- Camillus, NY
- NPI 1437239290
-
- Sports Medicine (Emergency Medicine) Physician
- Tully, NY
- NPI 1679735955
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1228867200000",
"number": "1083698377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5700 W GENESEE ST",
"address_2": "SUITE 100 SOUTH",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130313200",
"telephone_number": "315-488-6393",
"fax_number": "315-488-5854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W GENESEE ST",
"address_2": "SUITE 100 SOUTH",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130313200",
"telephone_number": "315-488-6393",
"fax_number": "315-488-5854"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IMMEDIATE MEDICAL CARE ASSOCIATES, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-01",
"last_updated": "2008-12-10",
"status": "A",
"authorized_official_last_name": "MANCUSI-UNGARO",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "SENIOR PARTNER",
"authorized_official_telephone_number": "315-488-6393",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930066333",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "930066334",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.