Excel Urgent Care of Astoria PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EXCEL URGENT CARE OF ASTORIA PLLC

Practice address

157-40 Crossbay Blvd
Howard Beach, NY 11414-2747

Phone

(845) 565-3700

Fax

(845) 565-3395

NPI assigned

Jan 26, 2011

Last updated

Jan 10, 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

Dr. Anthony R Ruvo, MDNPI 1972628014

Title

President

Phone

(845) 565-3700

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 61

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.

• Faruque Ahmed, D.O.

  • Surgery Physician
  • Jackson Heights, NY
  • NPI 1477645315
  Medicare reassignment Care Compare group NPD
• Marie Lynne Eloi-Stiven, MD

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1326146010
  Medicare reassignment Care Compare group NPD
• Roman Fayzibayev, FNP

  • Family Nurse Practitioner
  • Flushing, NY
  • NPI 1467183749
  Medicare reassignment Care Compare group NPD
• Cynthia Rosalyn Lopez

  • Family Nurse Practitioner
  • Jamaica, NY
  • NPI 1902672439
  Medicare reassignment Care Compare group NPD
• Radik Murdakhayev, PA

  • Medical Physician Assistant
  • Brooklyn, NY
  • NPI 1124078514
  Medicare reassignment Care Compare group NPD
• Anthony R Ruvo, M.D.

  • Emergency Medicine Physician
  • East Northport, NY
  • NPI 1972628014
  Medicare reassignment NPD Authorized official
• Mikhail M. Shpak, D.O.

  • Family Medicine Physician
  • Brooklyn, NY
  • NPI 1639145659

  Emergency Medicine

  Medicare reassignment Care Compare group NPD
• Michael J. Von Bose, MD, FACEP

  • Emergency Medical Services (Emergency Medicine) Physician
  • Brooklyn, NY
  • NPI 1386879443
  Medicare reassignment Care Compare group NPD
• Samantha D Brown, PA

  • Physician Assistant
  • Bronx, NY
  • NPI 1902977382
  Medicare reassignment Care Compare group
• Berthain Samuel Delille, RPA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1124382304
  Medicare reassignment Care Compare group
• Amrinder S Rana, PA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1023528098
  Medicare reassignment Care Compare group
• Derek Tam

  • Physician Assistant
  • Flushing, NY
  • NPI 1568865665
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1296000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673308800000",
    "number": "1235434036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TEMPLE HILL RD",
            "address_2": "STE 104",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535557",
            "telephone_number": "845-565-3700",
            "fax_number": "845-565-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157-40 CROSSBAY BLVD",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114142747",
            "telephone_number": "845-565-3700",
            "fax_number": "845-565-3395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL URGENT CARE OF ASTORIA PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-26",
        "last_updated": "2023-01-10",
        "certification_date": "2023-01-10",
        "status": "A",
        "authorized_official_last_name": "RUVO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-565-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04203307",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Empower Health Physical Therapy PC
• Gina Errico, MS
• Sasha C Espinal
• Meibell Esquivel, MASTERS
• Sounder R Eswar, M.D.
• Eyes on the Beach Inc. (DBA Optical Illusions)
• Daniella Ezair
• Sandy Fahmy
• Tatiana Rebeca Fallas, LMHC
• Frances Liboria Fasullo

• Urgent Care Clinic/Center in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; 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.

Verify at the official NPI Registry.