Medex Urgent Care LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

MEDEX URGENT CARE LLC

Practice address

15200 Bustleton Ave Ste 4
Philadelphia, PA 19116-1196

Phone

(215) 376-3339

Fax

(877) 349-8376

NPI assigned

Sep 12, 2023

Last updated

Apr 6, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Kogan, DONPI 1821664129

Title

Owner

Phone

(215) 376-3339

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Daniel Kogan, D.O.

  • Family Medicine Physician
  • Philadelphia, PA
  • NPI 1821664129
  Medicare reassignment Care Compare group NPD Authorized official
• Lisa Bengle, MSN RN FNP-BC

  • Family Nurse Practitioner
  • Doylestown, PA
  • NPI 1073048179
  Medicare reassignment Care Compare group NPD
• Alena Francis, CRNP

  • Family Nurse Practitioner
  • Bensalem, PA
  • NPI 1376363853
  Medicare reassignment Care Compare group NPD
• Isabel Kogan, CRNP

  • Family Nurse Practitioner
  • Horsham, PA
  • NPI 1336862770
  Medicare reassignment Care Compare group NPD
• Rachael Alison Cirone, MSN FNP-BC

  • Family Nurse Practitioner
  • Upper Darby, PA
  • NPI 1972228633
  NPD
• Gabrialla Peruzzi

  • Family Nurse Practitioner
  • Perkasie, PA
  • NPI 1184333957
  NPD
• Solomia Ponomarenko, CRNP

  • Family Nurse Practitioner
  • Feasterville Trevose, PA
  • NPI 1629746318
  NPD
• Svetlana Rott, CRNP

  • Family Nurse Practitioner
  • Philadelphia, PA
  • NPI 1649128620
  NPD (past)

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

{
    "created_epoch": "1694476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775433600000",
    "number": "1629855648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 2ND STREET PIKE # 180",
            "city": "SOUTHAMPTON",
            "state": "PA",
            "postal_code": "189663834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 BUSTLETON AVE STE 4",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191161196",
            "telephone_number": "215-376-3339",
            "fax_number": "877-349-8376"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1619 Grant Ave Ste 4C",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191153161",
            "country_code": "US",
            "telephone_number": "215-346-3339",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MEDEX URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-12",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A",
        "authorized_official_last_name": "KOGAN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "215-376-3339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Urgent Care Clinic/Center in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.