Organization Active NPI

Urgentway Medicine, PLLC

  • Multi-Specialty Clinic/Center
  • New York, NY
National Provider Identifier
1144764069
Registry record updated Oct 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
URGENTWAY MEDICINE, PLLC
Practice address
535 8TH Avenue, 37TH St, 6 FL
New York, NY 10018-4305
Phone
(646) 213-0190
Fax
(646) 381-2269
NPI assigned
Dec 12, 2016
Last updated
Oct 19, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2022

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

Authorized official

Name
Faika Khan, D.ONPI 1508003500
Title
Owner
Phone
(646) 213-0190

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

535 8TH Avenue, 37TH St, 6 FL
New York, NY 10018-4305

Mailing address

535 8TH Avenue, 37TH St, 6 FL
New York, NY 10018-4305
Phone (646) 213-0190

Other identifiers 1

IdentifierTypeStateIssuer
05047512MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170801002411 NY Part B Supplier - Clinic/Group Practice 1557632122 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

535 8th Ave
Rm 6S
New York, NY 10018

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": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1144764069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "535 8TH AVENUE, 37TH ST, 6 FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184305",
            "telephone_number": "646-213-0190",
            "fax_number": "646-381-2269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "535 8TH AVENUE, 37TH ST, 6 FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100184305",
            "telephone_number": "646-213-0190",
            "fax_number": "646-381-2269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENTWAY MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2022-10-19",
        "certification_date": "2022-10-19",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "FAIKA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-213-0190",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05047512",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.