Organization Active NPI

Urgent Care of New York PLLC

  • Urgent Care Clinic/Center
  • Centereach, NY
National Provider Identifier
1962181925
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
URGENT CARE OF NEW YORK PLLC
Practice address
2112 Middle Country Rd
Centereach, NY 11720-3519
Phone
(631) 468-6900
NPI assigned
Jul 17, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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

Authorized official

Name
Lorraine Hummel
Title
Avp
Phone
(631) 465-6001

Specialties & licenses 1

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

Addresses

Primary practice location

2112 Middle Country Rd
Centereach, NY 11720-3519

Mailing address

PO Box 95000-6585
Philadelphia, PA 19195-6585
Phone (631) 468-6900

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230908000795 NY Part B Supplier - Clinic/Group Practice 2466816525 Receives reassigned benefits from 24 practitioners
Practice locations: Centereach, NY; Melville, NY; Ronkonkoma, 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
33D2287369Urgent Care of New York PLLC2112 Middle Country Rd, Centereach, NY 11720Certificate of waiverAug 13, 2027

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1689552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704412800000",
    "number": "1962181925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95000-6585",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191956585",
            "telephone_number": "631-468-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2112 MIDDLE COUNTRY RD",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117203519",
            "telephone_number": "631-468-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-17",
        "last_updated": "2024-01-05",
        "certification_date": "2023-11-20",
        "status": "A",
        "authorized_official_last_name": "HUMMEL",
        "authorized_official_first_name": "LORRAINE",
        "authorized_official_title_or_position": "AVP",
        "authorized_official_telephone_number": "631-465-6001"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2024; 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.