Active NPI
Brooklyn Urgent Medical Care PC
- Urgent Care Clinic/Center
- Brooklyn, NY
National Provider Identifier
1720405368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 205420
- Legal business name
- BROOKLYN URGENT MEDICAL CARE PC
- Practice address
- 633 Driggs Ave
Brooklyn, NY 11211-6993 - Phone
- (212) 242-4333
- Fax
- (212) 242-4389
- NPI assigned
- Mar 20, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick P Ko, M.D.
- Title
- Emergency Medicine
- Phone
- (212) 242-4333
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | 205420 | NY | Primary |
Addresses
Primary practice location
633 Driggs Ave
Brooklyn, NY 11211-6993
Mailing address
633 Driggs Ave
Brooklyn, NY 11211-6993
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01822499 | Medicaid | NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2081910 | Brooklyn Urgent Medical Care PC | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- Flushing, NY
- NPI 1750478236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1395273600000",
"number": "1720405368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "633 DRIGGS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112116993"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "633 DRIGGS AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112116993",
"telephone_number": "212-242-4333",
"fax_number": "212-242-4389"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BROOKLYN URGENT MEDICAL CARE PC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-20",
"last_updated": "2014-03-20",
"status": "A",
"authorized_official_last_name": "KO",
"authorized_official_first_name": "PATRICK",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "EMERGENCY MEDICINE",
"authorized_official_telephone_number": "212-242-4333",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "NY",
"license": "205420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01822499",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
- Brooklyn United Methodist Continuum Services Inc
- Brooklyn Unity Medical Care PC
- Brooklyn Urgent Care of Boro Park PLLC
- Brooklyn Urgent Care of Marine Park PLLC
- Brooklyn Urgent Care PLLC
- Brooklyn Urologic Health & Associates
- Brooklyn Urology P.C.
- Brooklyn Veterans Administration Medical Center
- Brooklyn Village Adult Day Care Center Inc
- Brooklyn Vision Center Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2014; 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.