Organization Active NPI

Urgentmedicaldoc, PLLC

  • Urgent Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1639554082
Registry record updated Jul 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENTMEDICALDOC, PLLC
Practice address
1643 Westchester Ave
Bronx, NY 10472-2916
Phone
(502) 572-9990
NPI assigned
Jul 28, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2015

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

Authorized official

Name
Alseny Balde, MD, MPH
Title
Medical Doctor,Owner
Phone
(502) 572-9990

Specialties & licenses 1

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

Addresses

Primary practice location

1643 Westchester Ave
Bronx, NY 10472-2916

Mailing address

1643 Westchester Ave
Bronx, NY 10472-2916

National Provider Directory

National Provider Directory

Locations

1643 Westchester Ave
Bronx, NY 10472
Phone (502) 572-9990

NPI Registry JSON

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1639554082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1643 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1643 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722916",
            "telephone_number": "502-572-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENTMEDICALDOC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "BALDE",
        "authorized_official_first_name": "ALSENY",
        "authorized_official_title_or_position": "MEDICAL DOCTOR,OWNER",
        "authorized_official_telephone_number": "502-572-9990",
        "authorized_official_credential": "MD, MPH"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2015; 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.