Urgent Care of Orange CT, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

URGENT CARE OF ORANGE CT, LLC

Practice address

236 Boston Post Rd
Orange, CT 06477-3236

Phone

(860) 650-3848

NPI assigned

Mar 6, 2023

Last updated

Mar 6, 2023By 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

Jeannie M Kenkare, DO

Title

Cmo

Phone

(860) 650-3848

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1164122495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1339",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060336339",
            "telephone_number": "860-430-1246",
            "fax_number": "860-656-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "236 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773236",
            "telephone_number": "860-650-3848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF ORANGE CT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "KENKARE",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "860-650-3848",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Michael Trezza, APRN
• Tatiana Tumeniuk, APRN
• Kristin M. Tusa, DPT
• Adam Twickler, AGNP-C, APRN
• Urgent Care Center LLP
• Urgent Care of Orange, LLC
• Beth Ann Valashinas, DO
• Emily Vanloo-Hsu, M.S. CCC-SLP
• Jessica Velardi, PA-C
• Veo Vision Center, LLC

• Clinic/Center in Orange, CT
• Providers in Orange, CT by specialty
• Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.