Organization Active NPI

Glendale Walk-in Medical Care, PC

  • Urgent Care Clinic/Center
  • Baldwin, NY
National Provider Identifier
1437606175
Registry record updated Sep 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
168147 Issued in NY
Legal business name
GLENDALE WALK-IN MEDICAL CARE, PC
Practice address
2360 Grand Ave
Baldwin, NY 11510-3111
Phone
(516) 546-2266
Fax
(516) 546-8098
NPI assigned
Sep 9, 2016
Organization subpart
Yes
Parent organization
GLENDALE WALK-IN MEDICAL CARE, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 9, 2016

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

Authorized official

Name
Dr. Wayne Robert Sebastiano, MD
Title
President
Phone
(516) 554-7188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X 168147 NY Primary

Addresses

Primary practice location

2360 Grand Ave
Baldwin, NY 11510-3111

Mailing address

7801 Myrtle Ave
Glendale, NY 11385-7439
Phone (718) 386-8300

National Provider Directory

National Provider Directory
Tax ID family
Glendale Walk-in Medical Care PC2 organizations share this tax ID, including this one
Part of
Glendale Walk-in Medical Care PC

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1473379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473379200000",
    "number": "1437606175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7801 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857439",
            "telephone_number": "718-386-8300",
            "fax_number": "718-386-0437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 GRAND AVE",
            "city": "BALDWIN",
            "state": "NY",
            "postal_code": "115103111",
            "telephone_number": "516-546-2266",
            "fax_number": "516-546-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLENDALE WALK-IN MEDICAL CARE, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GLENDALE WALK-IN MEDICAL CARE, PC",
        "enumeration_date": "2016-09-09",
        "last_updated": "2016-09-09",
        "status": "A",
        "authorized_official_last_name": "SEBASTIANO",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-554-7188",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "168147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.