Organization Active NPI

Mydoc Urgent Care

  • Urgent Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1629525282
Registry record updated Nov 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MYDOC URGENT CARE
Practice address
3717 Chestnut St
Suite 202
Philadelphia, PA 19104-3164
Phone
(215) 921-8294
NPI assigned
Sep 1, 2016
Last updated
Nov 18, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2016

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

Authorized official

Name
Jing Jing Cai, OWNER
Title
Owner
Phone
(215) 350-3956

Specialties & licenses 1

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

Addresses

Primary practice location

3717 Chestnut St
Suite 202
Philadelphia, PA 19104-3164

Mailing address

3717 Chestnut St
Suite 202
Philadelphia, PA 19104-3164
Phone (215) 800-1909

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D2120692Mydoc Urgent Care - University City3717 Chestnut Street, Suite 202, Philadelphia, PA 19104Certificate of waiverOct 20, 2026

National Provider Directory

National Provider Directory

Locations

3717 Chestnut St
Ste 202
Philadelphia, PA 19104
Phone (215) 800-1909

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479427200000",
    "number": "1629525282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 CHESTNUT ST",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043164",
            "telephone_number": "215-800-1909",
            "fax_number": "267-273-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 CHESTNUT ST",
            "address_2": "SUITE 202",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191043164",
            "telephone_number": "215-921-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYDOC URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-11-18",
        "status": "A",
        "authorized_official_last_name": "CAI",
        "authorized_official_first_name": "JING JING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-350-3956",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.