New York Urgent Care PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

227485 Issued in NY

Legal business name

NEW YORK URGENT CARE PC

Practice address

55 E Old Country Rd
Hicksville, NY 11801-4293

Phone

(516) 605-0120

NPI assigned

Aug 31, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jagdeep J VyasNPI 1942245584

Title

Ceo

Phone

(718) 461-2712

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Jagdeep Vyas, MD

  • Internal Medicine Physician
  • Hicksville, NY
  • NPI 1942245584
  Medicare reassignment Care Compare group Authorized official
• Ronald Dingwell, NP

  • Family Nurse Practitioner
  • West Hempstead, NY
  • NPI 1619080249
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458518400000",
    "number": "1972797082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014293",
            "telephone_number": "516-605-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 E OLD COUNTRY RD",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118014293",
            "telephone_number": "516-605-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK URGENT CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2016-03-21",
        "status": "A",
        "authorized_official_last_name": "VYAS",
        "authorized_official_first_name": "JAGDEEP",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "718-461-2712",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NY",
            "license": "227485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDCR INDIV PTAN",
            "identifier": "A400001701",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Urgent Care Clinic/Center in Hicksville, NY
• Providers in Hicksville, 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 Mar 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.