Organization Active NPI

Doctor Urgent Medical Care, PLLC

  • Urgent Care Clinic/Center
  • Bronx, NY
National Provider Identifier
1881115822
Registry record updated Aug 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
DOCTOR URGENT MEDICAL CARE, PLLC
Practice address
538 East Fordham Road
Bronx, NY 10458-5015
Phone
(347) 590-0660
Fax
(718) 295-2404
NPI assigned
Jun 29, 2017
Last updated
Aug 15, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2023

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

Authorized official

Name
Dr. Denise Joanna Nunez, MDNPI 1023276433
Title
Medical Director
Phone
(347) 334-0906

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

538 East Fordham Road
Bronx, NY 10458-5015

Mailing address

538 E Fordham Rd
Bronx, NY 10458-5015
Phone (347) 590-0660

Other identifiers 1

IdentifierTypeStateIssuer
05177913MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20181001002085 NY Part B Supplier - Clinic/Group Practice 7911258942 Receives reassigned benefits from 4 practitioners
Practice locations: Bronx, NY

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2157539Doctor Urgent Medical Care PLLC538 East Fordham Road, Bronx, NY 10458Certificate of waiverJun 7, 2028

National Provider Directory

National Provider Directory

Locations

538 E Fordham Rd
Bronx, NY 10458
Phone (347) 590-0660

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CHEECD

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1498694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692057600000",
    "number": "1881115822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 E FORDHAM RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585015",
            "telephone_number": "347-590-0660",
            "fax_number": "718-295-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 EAST FORDHAM ROAD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104585015",
            "telephone_number": "347-590-0660",
            "fax_number": "718-295-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTOR URGENT MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-29",
        "last_updated": "2023-08-15",
        "certification_date": "2023-08-15",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "DENISE",
        "authorized_official_middle_name": "JOANNA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "347-334-0906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05177913",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.