Premier Care Medical of West Islip, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PREMIER CARE MEDICAL OF WEST ISLIP, PLLC

Practice address

292 Herricks Rd
Mineola, NY 11501-1119

Phone

(516) 292-8910

Fax

(516) 292-4009

NPI assigned

Jul 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. David Kim, MD

Title

Managing Owner

Phone

(516) 783-4600

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1801238845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105703",
            "telephone_number": "516-783-4600",
            "fax_number": "516-783-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "292 HERRICKS RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115011119",
            "telephone_number": "516-292-8910",
            "fax_number": "516-292-4009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER CARE MEDICAL OF WEST ISLIP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "MANAGING OWNER",
        "authorized_official_telephone_number": "516-783-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Powers
• Megan Beatrice Powers, PA-C
• Thaleshravi Prashad, FNP-C
• Oneka Pratt, RPAC
• Kristine Ann Prazak, RPA-C
• Premium Associates Ny LLC
• Samantha Brooke Prentice
• Donald B Price, MD
• Lawrence Primis, M.D.
• Kimberly Prinzivalli, RPAC

• Urgent Care Clinic/Center in Mineola, NY
• Providers in Mineola, NY by specialty
• Urgent Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2013; 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.