Your Metro Dr. Immediate Care Center

Primary specialty

Emergency Care Clinic/CenterTaxonomy code 261QE0002X

License

037321 Issued in CT

Legal business name

YOUR METRO DR. IMMEDIATE CARE CENTER

Practice address

323 Cromwell Avenue
C/O CVS Minute Clinic
Rocky Hill, CT 06067

Phone

(646) 732-0089

NPI assigned

Feb 6, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Abraham Berger, MD

Title

Medical Director

Phone

(646) 732-0089

Specialties & licenses 1

Addresses

Other names 1

• your metro doctors medical services Other name

Tax ID family

Your Metro Doctors Medical Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Your Metro Dr. Immediate Care Center

  • Emergency Medicine Physician
  • New York, NY
  • NPI 1497187645
  NPD tax ID

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1391644800000",
    "number": "1376967745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 CROMWELL AVENUE",
            "address_2": "C/O CVS MINUTE CLINIC",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "646-732-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 CROMWELL AVENUE",
            "address_2": "C/O CVS MINUTE CLINIC",
            "city": "ROCKY HILL",
            "state": "CT",
            "postal_code": "06067",
            "telephone_number": "646-732-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUR METRO DR. IMMEDIATE CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A",
        "authorized_official_last_name": "BERGER",
        "authorized_official_first_name": "ABRAHAM",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "646-732-0089",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "CT",
            "license": "037321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "your metro doctors medical services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Dannielle Elizabeth Wright, MA, MFT
• Karen Leblanc Yamalis, LPC
• Aris D. Yannopoulos, M.D.
• John Y Yaylagul, D.O.
• Paul C. Yeakley, RPH, PHARMD
• Aimee Zagaja, LCSW
• Ibrahim Zaidan
• Selena Zhuo, PHARMD
• Anthony Zilahy, DC
• Kathryn Zima

• Emergency Care Clinic/Center in Rocky Hill, CT
• Providers in Rocky Hill, CT by specialty
• Emergency Care Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.