NPIMap

Organization Active NPI

Ultra Care Urgent and Family Care

  • Urgent Care Clinic/Center
  • Kingston, PA
National Provider Identifier
1205334729
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
ULTRA CARE URGENT AND FAMILY CARE
Practice address
511 Pierce St
Kingston, PA 18704-5731
Phone
(570) 714-3333
Fax
(570) 338-3993
NPI assigned
Jan 30, 2018
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Dr. Ibrahim Moustafa Almeky, MDNPI 1750477139
Title
MD/Owner
Phone
(570) 714-3333

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)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

511 Pierce St
Kingston, PA 18704-5731

Mailing address

PO Box 1935
Kingston, PA 18704-0935
Phone (570) 714-3333

Other practice location 1

1919 N Memorial Highway
Shavertown, PA 18708-1483
Phone (570) 714-3333

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180307000606 PA Part B Supplier - Clinic/Group Practice 1951662063 Receives reassigned benefits from 10 practitioners
Practice locations: Kingston, PA; Plains TWP, PA; Shavertown, PA

National Provider Directory

National Provider Directory

Locations

511 Pierce St
Kingston, PA 18704
Phone (570) 243-3300

1919 Memorial Hwy
Shavertown, PA 18708
Phone (570) 243-3300

Practitioners & affiliated clinicians

Practitioners 11

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": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1205334729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1935",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040935",
            "telephone_number": "570-714-3333",
            "fax_number": "570-338-3993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PIERCE ST",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187045731",
            "telephone_number": "570-714-3333",
            "fax_number": "570-338-3993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1919 N Memorial Highway",
            "address_purpose": "LOCATION",
            "city": "Shavertown",
            "state": "PA",
            "postal_code": "187081483",
            "country_code": "US",
            "telephone_number": "570-714-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ULTRA CARE URGENT AND FAMILY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "ALMEKY",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_middle_name": "MOUSTAFA",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "570-714-3333",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; 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.