NPIMap

Organization Active NPI

Pediatric Immediate Care,PLLC

  • Pediatrics Physician
  • Lindenhurst, NY
National Provider Identifier
1215003108
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
205268 Issued in NY
Legal business name
PEDIATRIC IMMEDIATE CARE,PLLC
Practice address
150 Sunrise Hwy
Suite 200
Lindenhurst, NY 11757-2598
Phone
(631) 956-3537
Fax
(631) 956-7086
NPI assigned
Nov 24, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Urszula Krystyna Rakowska, MD,FAAP,MBA,CPENPI 1952415630
Title
Ceo
Phone
(631) 956-3537

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 205268 NY Primary

Addresses

Primary practice location

150 Sunrise Hwy
Suite 200
Lindenhurst, NY 11757-2598

Mailing address

150 Sunrise Hwy
Suite 200
Lindenhurst, NY 11757-2598
Phone (631) 956-3537

National Provider Directory

National Provider Directory

Locations

150 Sunrise Hwy
Ste 200
Lindenhurst, NY 11757
Phone (631) 956-3537

Practitioners & affiliated clinicians

Practitioners 2

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": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215003108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SUNRISE HWY",
            "address_2": "SUITE 200",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-956-3537",
            "fax_number": "631-956-7086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SUNRISE HWY",
            "address_2": "SUITE 200",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572598",
            "telephone_number": "631-956-3537",
            "fax_number": "631-956-7086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC IMMEDIATE CARE,PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAKOWSKA",
        "authorized_official_first_name": "URSZULA",
        "authorized_official_middle_name": "KRYSTYNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-956-3537",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD,FAAP,MBA,CPE"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "205268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lindenhurst, NY

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.