Organization Active NPI

My MD Urgent Care LLC

  • Urgent Care Clinic/Center
  • Boca Raton, FL
National Provider Identifier
1740792126
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MY MD URGENT CARE LLC
Practice address
9834 Glades Rd Ste C5
Boca Raton, FL 33434-3981
Phone
(305) 761-3500
NPI assigned
Oct 25, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Shay Kostiner
Title
Manager
Phone
(305) 761-3500

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

9834 Glades Rd Ste C5
Boca Raton, FL 33434-3981

Mailing address

1521 Alton Rd # 301
Miami Beach, FL 33139-3301

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1740792126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1521 ALTON RD # 301",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331393301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GLADES RD STE C5",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343981",
            "telephone_number": "305-761-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY MD URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "KOSTINER",
        "authorized_official_first_name": "SHAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-761-3500"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; 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.