Active NPI
Li Urgent Care PC
- Urgent Care Clinic/Center
- West Babylon, NY
National Provider Identifier
1184047870
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LI URGENT CARE PC
- Practice address
- 403 Little East Neck Rd
West Babylon, NY 11704-6518 - Phone
- (631) 716-5463
- NPI assigned
- Jan 30, 2014
- Last updated
- Sep 17, 2021
- 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
- Dr. Melina Josephine Khwaja, M.D.
- Title
- Physician /Owner
- Phone
- (516) 582-1441
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 226774 | NY | |
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
403 Little East Neck Rd
West Babylon, NY 11704-6518
Mailing address
9 Briar CT
Melville, NY 11747-2010
Phone (516) 582-1441
Other practice location 1
9 Briar Ct
Melville, NY 11747-2010
Phone (516) 582-1441
Other practice location 2
383 N Sunrise Service Rd Ste 8
Manorville, NY 11949-9603
Phone (631) 716-5410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2080987 | Li Urgent Care PC | Certificate of waiver | Mar 26, 2027 |
| 33D2133108 | Li Urgent Care PC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
383 N Sunrise Service Rd
Ste 8
Manorville, NY 11949
Phone (631) 716-5410
403 Little East Neck Rd
West Babylon, NY 11704
Phone (631) 716-5463
Interoperability endpoints
- https://api.platform.athenahealth.com/8960/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 24
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.
-
- Emergency Medicine Physician
- Stony Brook, NY
- NPI 1164467544
-
- Student in an Organized Health Care Education/Training Program
- Queens Village, NY
- NPI 1154969293
-
- Emergency Medicine Physician
- Patchogue, NY
- NPI 1306889043
-
- Physician Assistant
- Plainview, NY
- NPI 1265537971
-
- Physician Assistant
- Huntington, NY
- NPI 1124425509
-
- Adult Medicine Physician
- Merrick, NY
- NPI 1720551229
-
- Physician Assistant
- Stony Brook, NY
- NPI 1699177337
-
- Physician Assistant
- West Babylon, NY
- NPI 1508334962
-
- Physician Assistant
- West Babylon, NY
- NPI 1477707172
-
- Physician Assistant
- Stony Brook, NY
- NPI 1679943666
-
- Surgical Physician Assistant
- Southampton, NY
- NPI 1679973176
-
- Medical Physician Assistant
- Hampton Bays, NY
- NPI 1902128630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391040000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1631836800000",
"number": "1184047870",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BRIAR CT",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117472010",
"telephone_number": "516-582-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 LITTLE EAST NECK RD",
"city": "WEST BABYLON",
"state": "NY",
"postal_code": "117046518",
"telephone_number": "631-716-5463"
}
],
"practiceLocations": [
{
"address_1": "9 Briar Ct",
"address_purpose": "LOCATION",
"city": "Melville",
"state": "NY",
"postal_code": "117472010",
"country_code": "US",
"telephone_number": "516-582-1441",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "383 N Sunrise Service Rd Ste 8",
"address_purpose": "LOCATION",
"city": "Manorville",
"state": "NY",
"postal_code": "119499603",
"country_code": "US",
"telephone_number": "631-716-5410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LI URGENT CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-30",
"last_updated": "2021-09-17",
"certification_date": "2021-09-17",
"status": "A",
"authorized_official_last_name": "KHWAJA",
"authorized_official_first_name": "MELINA",
"authorized_official_middle_name": "JOSEPHINE",
"authorized_official_title_or_position": "PHYSICIAN /OWNER",
"authorized_official_telephone_number": "516-582-1441",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NY",
"license": "226774",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Babylon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.