Mohawk Glen Urgent Care, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MOHAWK GLEN URGENT CARE, PLLC

Practice address

91 Perimeter Rd
Suite 100
Rome, NY 13441-4018

Phone

(315) 337-2156

Fax

(315) 337-2497

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dario Otero

Title

Business Manager

Phone

(315) 337-2156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

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.

• James M Cimo, M.D.

  • Internal Medicine Physician
  • New Hartford, NY
  • NPI 1265424626
  Medicare reassignment NPD

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144355132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD",
            "address_2": "SUITE 100",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-337-2156",
            "fax_number": "315-337-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 PERIMETER RD",
            "address_2": "SUITE 100",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134414018",
            "telephone_number": "315-337-2156",
            "fax_number": "315-337-2497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOHAWK GLEN URGENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OTERO",
        "authorized_official_first_name": "DARIO",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "315-337-2156"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maysarah Gamal Mohamed
• Mohammed Seedat MD and Coral Nicholas MD PLLC
• Mohawk Glen Family Practice PLLC
• Mohawk Glen Imaging PC
• Mohawk Glen Radiology Associates of Cny PLLC
• Mohawk Valley Open MRI, PC
• Mohawk Valley Womens Health Associates LLP
• Samuel Molica, DO
• Mark Mongillo, PHARMD
• Phyllis R Moore, MSW

• Urgent Care Clinic/Center in Rome, NY
• Providers in Rome, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.