NPIMap

Organization Active NPI

JPR Urgent Medical Care

Doing business as Statcare

  • Urgent Care Clinic/Center
  • Hicksville, NY
National Provider Identifier
1114172848
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
29023847 Issued in NY
Legal business name
JPR URGENT MEDICAL CARE
Doing business as
Statcare
Practice address
412 S Broadway
Hicksville, NY 11801-5009
Phone
(516) 938-1550
Fax
(516) 938-1554
NPI assigned
Nov 21, 2008
Last updated
Sep 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Authorized official

Name
Priti Jain, MDNPI 1780607333
Title
President
Phone
(516) 938-1550

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 29023847 NY Primary

Addresses

Primary practice location

412 S Broadway
Hicksville, NY 11801-5009

Mailing address

412 S Broadway
Hicksville, NY 11801-5009
Phone (516) 938-1550

Other names 1

  • Statcare Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 40

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.

View all 40

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347926400000",
    "number": "1114172848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015009",
            "telephone_number": "516-938-1550",
            "fax_number": "516-938-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S BROADWAY",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015009",
            "telephone_number": "516-938-1550",
            "fax_number": "516-938-1554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JPR URGENT MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-21",
        "last_updated": "2012-09-18",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "PRITI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-938-1550",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "29023847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Statcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2012; 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.