Excel Urgent Care of Nesconset, PLLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

EXCEL URGENT CARE OF NESCONSET, PLLC

Practice address

465 Smithtown Blvd
Nesconset, NY 11767-2421

Phone

(613) 676-6700

NPI assigned

Aug 2, 2011

Last updated

Jan 26, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Anthony R Ruvo, MDNPI 1972628014

Title

Authorized Member

Phone

(845) 565-3700

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 61

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Faruque Ahmed, D.O.

  • Surgery Physician
  • Jackson Heights, NY
  • NPI 1477645315
  Medicare reassignment Care Compare group NPD
• Eugene Matthew Daniel Arena, NP

  • Family Nurse Practitioner
  • Port Jefferson, NY
  • NPI 1356997308
  Medicare reassignment Care Compare group NPD
• Debra Ellen Blaine, MD

  • General Practice Physician
  • East Northport, NY
  • NPI 1841358140
  Medicare reassignment Care Compare group NPD
• Ravina Chawla

  • Family Nurse Practitioner
  • New York, NY
  • NPI 1083125389

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Darie Ehrlich, DNP

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1821079740
  Medicare reassignment Care Compare group NPD
• Shailja Dilip Mukhtyar, MD

  • Family Medicine Physician
  • Bronx, NY
  • NPI 1881945665
  Medicare reassignment Care Compare group NPD
• Gabriella Rose Pelletteri, PA-C

  • Physician Assistant
  • Deer Park, NY
  • NPI 1619715430
  Medicare reassignment Care Compare group NPD
• Anthony R Ruvo, M.D.

  • Emergency Medicine Physician
  • East Northport, NY
  • NPI 1972628014
  Medicare reassignment NPD Authorized official
• Kenneth R. Barry, P.A.

  • Physician Assistant
  • Holbrook, NY
  • NPI 1487631693
  Medicare reassignment Care Compare group
• Christopher Bifulco, PA-C

  • Medical Physician Assistant
  • Bronx, NY
  • NPI 1154859932
  Medicare reassignment Care Compare group
• Veronica Castro, PA-C

  • Physician Assistant
  • East Northport, NY
  • NPI 1821694449
  Medicare reassignment Care Compare group
• Berthain Samuel Delille, RPA-C

  • Physician Assistant
  • Brooklyn, NY
  • NPI 1124382304
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1851679252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "484 TEMPLE HILL RD",
            "address_2": "SUITE 104",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535557",
            "telephone_number": "845-565-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SMITHTOWN BLVD",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672421",
            "telephone_number": "613-676-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL URGENT CARE OF NESCONSET, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "RUVO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "AUTHORIZED MEMBER",
        "authorized_official_telephone_number": "845-565-3700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ear Works Audiology PC
• Lorie Echerer-Vanriel, P.T.
• Rhonda R Edwards-Braithwaite, PA
• Tina M Elderbaum, P.T.
• Marc Etts, LCSW
• Eye Vision Associates, LLP (Eye Vision Associates)
• Sharon Eye, LPN
• Donna Fade, RN
• Jovite Fequiere, N.A
• Christina Ferlise-Clark, LCSWR

• Urgent Care Clinic/Center in Nesconset, NY
• Providers in Nesconset, 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 Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.