Organization Active NPI

Northern Urgent Medical Care PLLC

  • Emergency Medical Services (Emergency Medicine) Physician
  • Flushing, NY
National Provider Identifier
1497926968
Registry record updated Apr 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
NORTHERN URGENT MEDICAL CARE PLLC
Practice address
16418 Northern Blvd
Flushing, NY 11358-2647
Phone
(718) 939-5900
Fax
(718) 939-5959
NPI assigned
Mar 12, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2016

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

Authorized official

Name
Dr. Patrick P Ko, MDNPI 1750478236
Title
Owner
Phone
(718) 939-5900

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207PE0004X Primary

Addresses

Primary practice location

16418 Northern Blvd
Flushing, NY 11358-2647

Mailing address

16418 Northern Blvd
Flushing, NY 11358-2647
Phone (718) 939-5900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081201000221 NY Part B Supplier - Clinic/Group Practice 4486714060 Receives reassigned benefits from 2 practitioners
Practice locations: Brooklyn, NY; Flushing, NY; Long Island City, NY

National Provider Directory

National Provider Directory

Locations

633 Driggs Ave
Brooklyn, NY 11211
Phone (212) 242-4333

16418 Northern Blvd
Flushing, NY 11358
Phone (718) 939-5900

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1205280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461542400000",
    "number": "1497926968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16418 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582647",
            "telephone_number": "718-939-5900",
            "fax_number": "718-939-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16418 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582647",
            "telephone_number": "718-939-5900",
            "fax_number": "718-939-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN URGENT MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-12",
        "last_updated": "2016-04-25",
        "status": "A",
        "authorized_official_last_name": "KO",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-939-5900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2016; 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.