Active NPI
Optum Urgent Care, PLLC
- Urgent Care Clinic/Center
- Jericho, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- OPTUM URGENT CARE, PLLC
- Practice address
- 555 N Broadway
Jericho, NY 11753-2134 - Phone
- (516) 622-6000
- NPI assigned
- Mar 7, 2013
- Last updated
- May 6, 2023
- Organization subpart
- Yes
- Parent organization
- PROHEALTH CARE ASSOCIATES LLP
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard P. Morel, MD
- Title
- President
- Phone
- (516) 622-6000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | NY | Primary |
Addresses
Primary practice location
555 N Broadway
Jericho, NY 11753-2134
Mailing address
1 Dakota Drive
Suite 320
New Hyde Park, NY 11042-1113
Phone (516) 622-6000
Other names 1
- ProHealth Urgent Care, PLLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2069243 | Optum Urgent Care PLLC | Certificate of waiver | May 31, 2027 |
National Provider Directory
National Provider Directory- Part of
- Pro Healthcare Assoc LLP
Locations
148 Merrick Rd
Amityville, NY 11701
Phone (631) 789-2556
1049 Morris Park Ave
Bronx, NY 10461
Phone (929) 777-9082
10031 4th Ave
Brooklyn, NY 11209
Phone (218) 439-8200
330 Court St
Brooklyn, NY 11231
Phone (347) 335-0062
3448 Nostrand Ave
Brooklyn, NY 11229
Phone (347) 756-3410
6906 18th Ave
Brooklyn, NY 11204
Phone (718) 621-5933
833 Manhattan Ave
Brooklyn, NY 11222
Phone (347) 987-4040
129 W Sunrise Hwy
Freeport, NY 11520
Phone (516) 442-7090
25925 Union Tpke
Glen Oaks, NY 11004
Phone (718) 347-1470
16450 Crossbay Blvd
Howard Beach, NY 11414
Phone (718) 843-3366
16450 Crossbay Blvd
Fl 1
Howard Beach, NY 11414
Phone (718) 848-8412
247 Walt Whitman Rd
Huntington Station, NY 11746
Phone (631) 423-7400
4954 Merrick Rd
Massapequa Park, NY 11762
Phone (516) 308-7255
1 Dakota Dr
Ste 320
New Hyde Park, NY 11042
1601 3rd Ave
New York, NY 10128
Phone (212) 395-9000
1601 3rd Ave
Frnt 1
New York, NY 10128
Phone (646) 692-6272
291 3rd Ave
New York, NY 10010
Phone (212) 685-4849
1149 Old Country Rd
Riverhead, NY 11901
Phone (631) 727-3000
250 S Service Rd
Roslyn Heights, NY 11577
Phone (212) 277-6010
3894 Richmond Ave
Staten Island, NY 10312
Phone (347) 630-7985
7001 Amboy Rd
Staten Island, NY 10307
Phone (347) 838-6991
Practitioners & affiliated clinicians
Practitioners 645
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.
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- NPI 1851821177
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- Diagnostic Radiology Physician
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- NPI 1558335646
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- Diagnostic Radiology Physician
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- NPI 1164474854
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1285864280
-
- Family Medicine Physician
- Oceanside, NY
- NPI 1194076729
-
- Geriatric Medicine (Family Medicine) Physician
- New Square, NY
- NPI 1164957767
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- NPI 1821329533
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- Brooklyn, NY
- NPI 1548581614
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- NPI 1336189968
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1683331200000",
"number": "1285975797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 DAKOTA DRIVE",
"address_2": "SUITE 320",
"city": "NEW HYDE PARK",
"state": "NY",
"postal_code": "110421113",
"telephone_number": "516-622-6000",
"fax_number": "516-622-6068"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 N BROADWAY",
"city": "JERICHO",
"state": "NY",
"postal_code": "117532134",
"telephone_number": "516-622-6000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OPTUM URGENT CARE, PLLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "PROHEALTH CARE ASSOCIATES LLP",
"enumeration_date": "2013-03-07",
"last_updated": "2023-05-06",
"certification_date": "2023-05-06",
"status": "A",
"authorized_official_last_name": "MOREL",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "516-622-6000",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "ProHealth Urgent Care, PLLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Jericho, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.