Urgent Care of New York PLLC

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

Last updated

Jan 5, 2024By 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

Lorraine Hummel

Title

Avp

Phone

(631) 465-6001

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 28

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.

• Eugene Matthew Daniel Arena, NP

  • Family Nurse Practitioner
  • Port Jefferson, NY
  • NPI 1356997308
  Medicare reassignment Care Compare group NPD
• Darie Ehrlich, DNP

  • Family Nurse Practitioner
  • Bronx, NY
  • NPI 1821079740
  Medicare reassignment Care Compare group NPD
• Daniel La, MD

  • Family Medicine Physician
  • New Hyde Park, NY
  • NPI 1457621500
  Medicare reassignment Care Compare group NPD
• Kenneth R. Barry, P.A.

  • Physician Assistant
  • Holbrook, NY
  • NPI 1487631693
  Medicare reassignment Care Compare group
• Chelsea Elizabeth Cavallaro

  • Physician Assistant
  • Freeport, NY
  • NPI 1083154793
  Medicare reassignment Care Compare group
• Tracy Daley

  • Physician Assistant
  • Roslyn, NY
  • NPI 1710728548
  Medicare reassignment Care Compare group
• Ellyse Damiano, PA

  • Physician Assistant
  • East Patchogue, NY
  • NPI 1235598178
  Medicare reassignment Care Compare group
• Rohish Dewan

  • Medical Physician Assistant
  • Mineola, NY
  • NPI 1144920182
  Medicare reassignment Care Compare group
• Maureen Fritz, PA

  • Physician Assistant
  • West Islip, NY
  • NPI 1831129410
  Medicare reassignment Care Compare group
• John W Gimeli, RPA-C

  • Medical Physician Assistant
  • Jamaica, NY
  • NPI 1184921637
  Medicare reassignment Care Compare group
• Shantae Rodriguez, PA

  • Physician Assistant
  • Stony Brook, NY
  • NPI 1902055650
  Medicare reassignment Care Compare group
• Opkar S Chawla, MD

  • Internal Medicine Physician
  • Centereach, NY
  • NPI 1871548776
  Medicare reassignment NPD

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": []
}

• Chris H Tropin, LCSW
• Justine Tuttle, PA
• Heather A Tynes
• Ufpc
• Diana Unger, LCSW-R
• Daisy Chinaemerem Uwaoma, LPN
• Zuleyka Sheila Vargas, RN
• Sonia Varughese, PA-C
• Carly Helene Vera, RD, CDN
• Vestal Healthcare, LLC (Coram Dialysis)

• Urgent Care Clinic/Center in Centereach, NY
• Providers in Centereach, 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 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.