NPIMap

Organization Active NPI

Urgent Care Center LLP

  • Internal Medicine Physician
  • Orange, CT
National Provider Identifier
1285869073
Registry record updated Dec 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
045143 Issued in CT
Legal business name
URGENT CARE CENTER LLP
Practice address
109 Boston Post Road
Orange, CT 06477
Phone
(203) 874-3682
NPI assigned
May 21, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2017

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

Authorized official

Name
Jasdeep Sidana, MD
Title
Owner
Phone
(203) 466-8060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 045143 CT Primary

Addresses

Primary practice location

109 Boston Post Road
Orange, CT 06477

Mailing address

163 Universal Dr N
North Haven, CT 06473-3152
Phone (203) 466-8060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091109000550 CT Part B Supplier - Clinic/Group Practice 8628116837 Receives reassigned benefits from 20 practitioners
Practice locations: Stratford, CT; West Haven, CT; Waterbury, CT; Southington, CT; Orange, CT; East Haven, CT; Hamden, CT; Norwalk, CT…

National Provider Directory

National Provider Directory

Locations

427 Main St
Monroe, CT 06468

832 Queen St
Southington, CT 06489
Phone (860) 863-5288

2001 W Main St
Ste 150
Stamford, CT 06902
Phone (203) 253-7037

200 E Main St
Stratford, CT 06614
Phone (203) 378-8500

636 Campbell Ave
West Haven, CT 06516
Phone (203) 298-4600

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512691200000",
    "number": "1285869073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "163 UNIVERSAL DR N",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733152",
            "telephone_number": "203-466-8060",
            "fax_number": "203-907-3279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BOSTON POST ROAD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "06477",
            "telephone_number": "203-874-3682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE CENTER LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2017-12-08",
        "status": "A",
        "authorized_official_last_name": "SIDANA",
        "authorized_official_first_name": "JASDEEP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-466-8060",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "045143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2017; 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.