Organization Active NPI

Universal Medical Care

  • Urgent Care Clinic/Center
  • Kearny, NJ
National Provider Identifier
1215260427
Registry record updated Sep 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
600978 Issued in NY
Legal business name
UNIVERSAL MEDICAL CARE
Practice address
883 Schyuler Ave, # 23
Kearny, NJ 07032-4236
Phone
(201) 800-1416
NPI assigned
Sep 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2009

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

Authorized official

Name
Natalia Brokovich
Title
Owner
Phone
(201) 800-1416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 600978 NY Primary
Nursing Facility/Intermediate Care Facility 313M00000X 600978 NY

Addresses

Primary practice location

883 Schyuler Ave, # 23
Kearny, NJ 07032-4236

Mailing address

883 Schyuler Ave, # 23
Kearny, NJ 07032-4236
Phone (201) 800-1416

Other identifiers 1

IdentifierTypeStateIssuer
03026991MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252368000000",
    "number": "1215260427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "883 SCHYULER AVE, # 23",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070324236",
            "telephone_number": "201-800-1416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "883 SCHYULER AVE, # 23",
            "city": "KEARNY",
            "state": "NJ",
            "postal_code": "070324236",
            "telephone_number": "201-800-1416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSAL MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A",
        "authorized_official_last_name": "BROKOVICH",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-800-1416"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "600978",
            "primary": true
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NY",
            "license": "600978",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03026991",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kearny, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.