NPIMap

Organization Active NPI

QHC Upstate Medical, P.C.

  • Urgent Care Clinic/Center
  • Monsey, NY
National Provider Identifier
1982932463
Registry record updated Jan 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
QHC UPSTATE MEDICAL, P.C.
Practice address
1 Main St
Monsey, NY 10952-3704
Phone
(845) 371-7200
NPI assigned
Nov 23, 2009
Last updated
Jan 9, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2019

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

Authorized official

Name
Dr. Seth Kurtz, M.D.NPI 1023113453
Title
President
Phone
(845) 371-7200

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 Primary

Addresses

Primary practice location

1 Main St
Monsey, NY 10952-3704

Mailing address

12 Deerwood Rd
Spring Valley, NY 10977-1001

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130419000344 NY Part B Supplier - Clinic/Group Practice 5597901488 Receives reassigned benefits from 20 practitioners
Practice locations: Woodbourne, NY; Valley Stream, NY; Swan Lake, NY; Monticello, NY; Monsey, NY; Brooklyn, NY; Staten Island, NY

National Provider Directory

National Provider Directory

Locations

19 Prince St
Monticello, NY 12701
Phone (845) 791-8101

314 Bradley Ave
Staten Island, NY 10314
Phone (718) 494-4545

Practitioners & affiliated clinicians

Practitioners 25

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 25

NPI Registry JSON

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

{
    "created_epoch": "1258934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546992000000",
    "number": "1982932463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 DEERWOOD RD",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109771001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MAIN ST",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523704",
            "telephone_number": "845-371-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QHC UPSTATE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-23",
        "last_updated": "2019-01-09",
        "status": "A",
        "authorized_official_last_name": "KURTZ",
        "authorized_official_first_name": "SETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-371-7200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2019; 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.