Urgent Care New York PC

Primary specialty

Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X

Legal business name

URGENT CARE NEW YORK PC

Practice address

40 S Main St Ste 1300
Memphis, TN 38103-5513

Phone

(901) 422-7610

NPI assigned

Nov 15, 2019

Organization subpart

No

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

Authorized official

Name

David William Moen, MDNPI 1942312301

Title

President

Phone

(651) 329-2721

Specialties & licenses 1

Addresses

Other names 1

• Prospero Health of NY Other name

Locations

Practitioners 1

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

• David W Moen, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Wyoming, MN
  • NPI 1942312301
  NPD (past) Authorized official

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

{
    "created_epoch": "1573776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640822400000",
    "number": "1750926598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST STE 1300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035513",
            "telephone_number": "901-422-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S MAIN ST STE 1300",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381035513",
            "telephone_number": "901-422-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-15",
        "last_updated": "2021-12-30",
        "certification_date": "2021-12-27",
        "status": "A",
        "authorized_official_last_name": "MOEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "651-329-2721",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prospero Health of NY",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Prospero Health of NY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ur Home Care Solution LLC
• Urban Alpha
• Urban Community Ministries
• Urban Family Ministries CDC
• Urban Non-Emergency Transport Incorporated
• Urgent Medical Clinic Inc
• Julian Urquiola, CFTS
• US Department of Veteran Affairs
• US Veterans Affairs
• David Aaron Usdan, M.D.

• Hospice and Palliative Medicine (Family Medicine) Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Hospice and Palliative Medicine (Family Medicine) Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2021; 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.