Organization Active NPI

Brooklyn Urgent Medical Care PC

  • Urgent Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1720405368
Registry record updated Mar 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
License
205420 Issued in NY
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

Updated by the provider on Mar 20, 2014

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.NPI 1750478236
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01822499MedicaidNY

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
33D2081910Brooklyn Urgent Medical Care PC633 Driggs Avenue, Brooklyn, NY 11211Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.