Active NPI
Lake Ontario Prompt Medical Care, PLLC
- Urgent Care Clinic/Center
- Oswego, NY
National Provider Identifier
1407285232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 164385
- Legal business name
- LAKE ONTARIO PROMPT MEDICAL CARE, PLLC
- Practice address
- 300 State Route 104
Suite 2
Oswego, NY 13126-2956 - Phone
- (315) 216-4036
- Fax
- (315) 216-4560
- NPI assigned
- Nov 2, 2013
- 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
- Mrs. Sunil Ram
- Title
- Ceo
- Phone
- (315) 216-6687
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 164385 | NY | Primary |
Addresses
Primary practice location
300 State Route 104
Suite 2
Oswego, NY 13126-2956
Mailing address
300 State Route 104
Suite 2
Oswego, NY 13126-2956
Phone (315) 342-0030
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003928953 | Other | NY | NPI |
| 3884939 | Medicaid | NY |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Medical Physician Assistant
- Liverpool, NY
- NPI 1942382528
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681948800000",
"number": "1407285232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 STATE ROUTE 104",
"address_2": "SUITE 2",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262956",
"telephone_number": "315-342-0030",
"fax_number": "315-216-6669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 STATE ROUTE 104",
"address_2": "SUITE 2",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262956",
"telephone_number": "315-216-4036",
"fax_number": "315-216-4560"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAKE ONTARIO PROMPT MEDICAL CARE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-02",
"last_updated": "2023-04-20",
"certification_date": "2023-04-20",
"status": "A",
"authorized_official_last_name": "RAM",
"authorized_official_first_name": "SUNIL",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "315-216-6687",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NY",
"license": "164385",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1003928953",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3884939",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.