Organization Active NPI

Urgent & Primary Care PLLC

  • Internal Medicine Physician
  • East Greenbush, NY
National Provider Identifier
1346543337
Registry record updated May 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
197789 Issued in NY
Legal business name
URGENT & PRIMARY CARE PLLC
Practice address
598 Columbia Tpke
East Greenbush, NY 12061-1622
Phone
(518) 479-5240
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2017

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

Authorized official

Name
Dr. Laxmikant Bhoiwala, MDNPI 1689737744
Title
Owner
Phone
(518) 479-5240

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 197789 NY Primary

Addresses

Primary practice location

598 Columbia Tpke
East Greenbush, NY 12061-1622

Mailing address

598 Columbia Tpke
P O Box 579
East Greenbush, NY 12061-1622
Phone (518) 479-5240

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110418000194 NY Part B Supplier - Clinic/Group Practice 0648454546 Receives reassigned benefits from 2 practitioners
Practice locations: East Greenbush, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495756800000",
    "number": "1346543337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "598 COLUMBIA TPKE",
            "address_2": "P O BOX 579",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611622",
            "telephone_number": "518-479-5240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "598 COLUMBIA TPKE",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120611622",
            "telephone_number": "518-479-5240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT & PRIMARY CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2017-05-26",
        "status": "A",
        "authorized_official_last_name": "BHOIWALA",
        "authorized_official_first_name": "LAXMIKANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-479-5240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "197789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.