NPIMap

Organization Active NPI

Hillside Urgent Care PLLC

  • Urgent Care Clinic/Center
  • Jamaica, NY
National Provider Identifier
1407240583
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
HILLSIDE URGENT CARE PLLC
Practice address
16403 Hillside Ave
Jamaica, NY 11432-4140
Phone
(718) 554-8072
Fax
(718) 554-8539
NPI assigned
Mar 26, 2015
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Muhammad A Momen
Title
Administrator
Phone
(718) 200-0723

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

16403 Hillside Ave
Jamaica, NY 11432-4140

Mailing address

16403 Hillside Ave
Jamaica, NY 11432-4140
Phone (718) 554-8072

Other practice location 1

856 Dekalb Ave
Brooklyn, NY 11221-1402
Phone (347) 744-9333

Other practice location 2

711 Nereid Ave
Bronx, NY 10466-1201
Phone (718) 565-5600

Other practice location 3

7038 Broadway Ste 3A
Jackson Heights, NY 11372-6134
Phone (718) 222-8777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160928000659 NY Part B Supplier - Clinic/Group Practice 1951698372 Receives reassigned benefits from 11 practitioners
Practice locations: Jamaica, NY; Jackson Heights, NY; Brooklyn, NY; Bronx, NY

National Provider Directory

National Provider Directory

Locations

1888 Westchester Ave
#A
Bronx, NY 10472

320 E 204th St
#3
Bronx, NY 10467

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1407240583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16403 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-554-8072",
            "fax_number": "516-776-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16403 HILLSIDE AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114324140",
            "telephone_number": "718-554-8072",
            "fax_number": "718-554-8539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 Dekalb Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112211402",
            "country_code": "US",
            "telephone_number": "347-744-9333",
            "fax_number": "718-554-8539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Nereid Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104661201",
            "country_code": "US",
            "telephone_number": "718-565-5600",
            "fax_number": "718-554-8539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7038 Broadway Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113726134",
            "country_code": "US",
            "telephone_number": "718-222-8777",
            "fax_number": "718-554-8539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HILLSIDE URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-26",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "MOMEN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "718-200-0723"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; 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.