Organization Active NPI

Modern Physician Services PC

Doing business as ModernMD Urgent Care

  • Urgent Care Clinic/Center
  • Brooklyn, NY
National Provider Identifier
1932590601
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
MODERN PHYSICIAN SERVICES PC
Doing business as
ModernMD Urgent Care
Practice address
68 Graham Ave
Brooklyn, NY 11206-4017
Phone
(644) 593-8773
Fax
(417) 429-2893
NPI assigned
Feb 16, 2015
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Andrew Shulman
Title
Ceo
Phone
(646) 741-1511

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Care Clinic/Center 261QE0002X NU
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

68 Graham Ave
Brooklyn, NY 11206-4017

Mailing address

85 Broad St FL 18
New York, NY 10004-2783
Phone (646) 604-8120

Other names 1

  • ModernMD Urgent Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150731014224 NY Part B Supplier - Clinic/Group Practice 6204140544 Receives reassigned benefits from 75 practitioners
Practice locations: Ridgewood, NY; Woodhaven, NY; South Richmond Hill, NY; Jackson Heights, NY; Brooklyn, 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
33D2094994Modern Physician Services PC68 Graham Avenue, Brooklyn, NY 11206Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

1169 Liberty Ave
Brooklyn, NY 11208
Phone (646) 604-8180

1248 Fulton St
Brooklyn, NY 11216
Phone (646) 604-8130

436 Utica Ave
Brooklyn, NY 11213
Phone (646) 604-8150

68 Graham Ave
Brooklyn, NY 11206
Phone (646) 604-8120

916 Flatbush Ave
Brooklyn, NY 11226
Phone (646) 604-8140

85 Broad St
New York, NY 10004
Phone (718) 863-1033

10342 Lefferts Blvd
South Richmond Hill, NY 11419
Phone (929) 468-9930

8922 Jamaica Ave
Woodhaven, NY 11421
Phone (646) 604-8170

Interoperability endpoints

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

Practitioners & affiliated clinicians

Practitioners 85

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.

View all 85

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1932590601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 BROAD ST FL 18",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042783",
            "telephone_number": "646-604-8120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 GRAHAM AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112064017",
            "telephone_number": "644-593-8773",
            "fax_number": "417-429-2893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PHYSICIAN SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-16",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "SHULMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "646-741-1511"
    },
    "taxonomies": [
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ModernMD Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.