Organization Active NPI

United Comprehensive Care, LTD

  • Clinic/Center
  • Riverhead, NY
National Provider Identifier
1841554144
Registry record updated May 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
UNITED COMPREHENSIVE CARE, LTD
Practice address
170 Old Country Rd
Riverhead, NY 11901-2198
Phone
(631) 473-7100
NPI assigned
Jul 2, 2012
Last updated
May 20, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2015

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

Authorized official

Name
Mr. Kenneth Gaul
Title
Ceo
Phone
(631) 473-7100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NY Primary

Addresses

Primary practice location

170 Old Country Rd
Riverhead, NY 11901-2198

Mailing address

170 Old Country Rd
Riverhead, NY 11901-2198
Phone (631) 473-7100

Other identifiers 1

IdentifierTypeStateIssuer
515203ROtherNYNYS DOH OPERATING CERTIFICATE

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432080000000",
    "number": "1841554144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012198",
            "telephone_number": "631-473-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 OLD COUNTRY RD",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119012198",
            "telephone_number": "631-473-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED COMPREHENSIVE CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-02",
        "last_updated": "2015-05-20",
        "status": "A",
        "authorized_official_last_name": "GAUL",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-473-7100",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DOH OPERATING CERTIFICATE",
            "identifier": "515203R",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverhead, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2015; 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.