Active NPI
Med-One Care, LLC
- Urgent Care Clinic/Center
- Dix Hills, NY
National Provider Identifier
1497925291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 177073
- Legal business name
- MED-ONE CARE, LLC
- Practice address
- 4 Talon Way
Dix Hills, NY 11746-6239 - Phone
- (914) 217-6309
- NPI assigned
- Mar 7, 2008
- 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
- Dr. Samuel I Okonta, M D
- Title
- Ceo/ Medical Director
- Phone
- (914) 217-6309
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 177073 | NY | |
| Urgent Care Clinic/Center | 261QU0200X | 177073 | NY | Primary |
Addresses
Primary practice location
4 Talon Way
Dix Hills, NY 11746-6239
Mailing address
217-14 Merrick Boulevard
Lauelton, NY 11413
Phone (914) 217-6309
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
21714 Merrick Blvd
Laurelton, NY 11413
Phone (718) 712-1428
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Laurelton, NY
- NPI 1295772648
-
- Family Medicine Physician
- Springfield Gardens, NY
- NPI 1538246780
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204848000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1204848000000",
"number": "1497925291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217-14 MERRICK BOULEVARD",
"city": "LAUELTON",
"state": "NY",
"postal_code": "11413",
"telephone_number": "914-217-6309"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 TALON WAY",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466239",
"telephone_number": "914-217-6309"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-ONE CARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-03-07",
"last_updated": "2008-03-07",
"status": "A",
"authorized_official_last_name": "OKONTA",
"authorized_official_first_name": "SAMUEL",
"authorized_official_middle_name": "I",
"authorized_official_title_or_position": "CEO/ MEDICAL DIRECTOR",
"authorized_official_telephone_number": "914-217-6309",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M D"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Emergency Medicine",
"state": "NY",
"license": "177073",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NY",
"license": "177073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dix Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2008; 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.