Organization Active NPI

Kenmore Immediate Care Corp Inc

  • Urgent Care Clinic/Center
  • Kenmore, NY
National Provider Identifier
1124528724
Registry record updated May 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
KENMORE IMMEDIATE CARE CORP INC
Practice address
2949 Elmwood Ave
Kenmore, NY 14217-1356
Phone
(732) 277-0603
NPI assigned
Feb 20, 2018
Last updated
May 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2022

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

Authorized official

Name
Mr. Jaweed Shariff
Title
Director
Phone
(732) 277-0603

Specialties & licenses 1

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

Addresses

Primary practice location

2949 Elmwood Ave
Kenmore, NY 14217-1356

Mailing address

2949 Elmwood Ave
Kenmore, NY 14217-1356
Phone (732) 277-0603

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1124528724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2949 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171356",
            "telephone_number": "732-277-0603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2949 ELMWOOD AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171356",
            "telephone_number": "732-277-0603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENMORE IMMEDIATE CARE CORP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "SHARIFF",
        "authorized_official_first_name": "JAWEED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-277-0603",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenmore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2022; 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.