Active NPI
Emerge Medstaffing LLC
- Urgent Care Clinic/Center
- Laurelton, NY
National Provider Identifier
1114754603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- EMERGE MEDSTAFFING LLC
- Practice address
- 22414 Merrick Blvd Ste a
Laurelton, NY 11413-2023 - Phone
- (718) 949-6433
- NPI assigned
- Sep 18, 2024
- 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
- Richard Watson
- Title
- Owner
- Phone
- (708) 887-8110
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
22414 Merrick Blvd Ste a
Laurelton, NY 11413-2023
Mailing address
22414 Merrick Blvd Ste a
Laurelton, NY 11413-2023
Phone (718) 949-6433
Other names 1
- Emerge Quick Care
National Provider Directory
National Provider Directory- Tax ID family
- Emerge Medstaffing LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Family Medicine Physician
- Frankfort, IL
- NPI 1467177311
Locations
22414 Merrick Blvd
Ste A
Laurelton, NY 11413
Phone (718) 949-6433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726617600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726617600000",
"number": "1114754603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22414 MERRICK BLVD STE A",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132023",
"telephone_number": "718-949-6433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22414 MERRICK BLVD STE A",
"city": "LAURELTON",
"state": "NY",
"postal_code": "114132023",
"telephone_number": "718-949-6433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EMERGE MEDSTAFFING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-18",
"last_updated": "2024-09-18",
"certification_date": "2024-09-18",
"status": "A",
"authorized_official_last_name": "WATSON",
"authorized_official_first_name": "RICHARD",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-887-8110"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Emerge Quick Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Laurelton, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.