NPIMap

Organization Active NPI

Mydoc Urgent Care

  • Urgent Care Clinic/Center
  • Philadelphia, PA
National Provider Identifier
1689067472
Registry record updated May 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MYDOC URGENT CARE
Practice address
1420 Locust St Unit R1A
Philadelphia, PA 19102-4223
Phone
(215) 350-3956
NPI assigned
Mar 18, 2015
Last updated
May 2, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2015

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

Authorized official

Name
Ms. Jingjing Cai
Title
President
Phone
(215) 350-3956

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Primary Care Clinic/Center 261QP2300X NU
Urgent Care Clinic/Center 261QU0200X NU Primary
Occupational Medicine Clinic/Center 261QX0100X NU

Addresses

Primary practice location

1420 Locust St Unit R1A
Philadelphia, PA 19102-4223

Mailing address

3135 Alpin Dr
Dresher, PA 19025-1634
Phone (215) 350-3956

Other names 1

  • MyDoc Healthcare Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150813009853 PA Part B Supplier - Clinic/Group Practice 3870808322 Receives reassigned benefits from 33 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Locations

1008 Arch St
#102
Philadelphia, PA 19107
Phone (267) 881-9111

1501 N Broad St
Ste 10
Philadelphia, PA 19122
Phone (267) 457-5553

Practitioners & affiliated clinicians

Practitioners 35

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.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1426636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430524800000",
    "number": "1689067472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3135 ALPIN DR",
            "city": "DRESHER",
            "state": "PA",
            "postal_code": "190251634",
            "telephone_number": "215-350-3956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 LOCUST ST UNIT R1A",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024223",
            "telephone_number": "215-350-3956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MYDOC URGENT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-18",
        "last_updated": "2015-05-02",
        "status": "A",
        "authorized_official_last_name": "CAI",
        "authorized_official_first_name": "JINGJING",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-350-3956",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QX0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Occupational Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyDoc Healthcare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 May 2, 2015; 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.