Active NPI
Northeast Urgent Care Medical Associate
- Urgent Care Clinic/Center
- White Plains, NY
National Provider Identifier
1326442229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- NORTHEAST URGENT CARE MEDICAL ASSOCIATE
- Practice address
- 388 Tarrytown Rd
White Plains, NY 10607-1465 - Phone
- (914) 777-2273
- Fax
- (877) 932-7426
- NPI assigned
- Oct 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jason B Lupow, M.D.
- Title
- Owner/Medical Director
- Phone
- (914) 777-2273
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
388 Tarrytown Rd
White Plains, NY 10607-1465
Mailing address
388 Tarrytown Rd
White Plains, NY 10607-1465
Phone (914) 777-2273
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 616782100 | Other | NY | DOL |
| 261QU0200X | Other | NY | TAXON GROUP |
| 6851910001 | Other | NY | DMEPOS |
| A100077982 | Other | NY | GROUP PTAN |
Other names 1
- MD Urgent Care
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413849600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1509580800000",
"number": "1326442229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "388 TARRYTOWN RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106071465",
"telephone_number": "914-777-2273",
"fax_number": "877-932-7426"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "388 TARRYTOWN RD",
"city": "WHITE PLAINS",
"state": "NY",
"postal_code": "106071465",
"telephone_number": "914-777-2273",
"fax_number": "877-932-7426"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTHEAST URGENT CARE MEDICAL ASSOCIATE",
"organizational_subpart": "NO",
"enumeration_date": "2014-10-21",
"last_updated": "2017-11-02",
"status": "A",
"authorized_official_last_name": "LUPOW",
"authorized_official_first_name": "JASON",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
"authorized_official_telephone_number": "914-777-2273",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOL",
"identifier": "616782100",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAXON GROUP",
"identifier": "261QU0200X",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMEPOS",
"identifier": "6851910001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "A100077982",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "MD Urgent Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in White Plains, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.