Active NPI
Kenmore Immediate Care Corp Inc
- Urgent Care Clinic/Center
- Kenmore, NY
National Provider Identifier
1124528724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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, 2022
- 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
- Mr. Jaweed Shariff
- Title
- Director
- Phone
- (732) 277-0603
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Buffalo, NY
- NPI 1063657591
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
- Kenmore Chiropractic PC
- Kenmore Dental Assoc. LLP
- Kenmore Family Medicine
- Kenmore Family Medicine
- Kenmore Family Medicine, LLP
- Kenmore Mercy Hospital (Kenmore Specialty Center)
- Kenmore Mercy Hospital
- Kenmore Mercy Hospital
- Kenmore Mercy Hospital (Kenmore Mercy Professional Services)
- Kenmore Mercy Hospital
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.