Centers Urgent Care | |
6122g Fresh Pond Rd Middle Village NY 11379-1040 | |
(718) 502-3000 | |
Not Available |
Full Name | Centers Urgent Care |
---|---|
Speciality | Internal Medicine |
Location | 6122g Fresh Pond Rd, Middle Village, New York |
Authorized Official Name and Position | Josef Shenker (TREASURER) |
Authorized Official Contact | 2127346621 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Centers Urgent Care 6122 Fresh Pond Rd Middle Village NY 11379-1040 Ph: () - | Centers Urgent Care 6122g Fresh Pond Rd Middle Village NY 11379-1040 Ph: (718) 502-3000 |
NPI Number | 1275936932 |
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Provider Enumeration Date | 10/08/2014 |
Last Update Date | 07/10/2023 |
Medicare PECOS PAC ID | 8022335330 |
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Medicare Enrollment ID | O20150326000162 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275936932 | NPI | - | NPPES |
230221-1 | Other | NY | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
Provider Name | Marie R Chapnick |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689767147 PECOS PAC ID: 3577526862 Enrollment ID: I20041108000821 |
Provider Name | Josef Schenker |
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Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1225004708 PECOS PAC ID: 8729037858 Enrollment ID: I20050115000142 |
Provider Name | Samuel Ayala |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1093003501 PECOS PAC ID: 9133353519 Enrollment ID: I20131018000838 |
Provider Name | Namyshaye O. Perrier-diaz |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548593163 PECOS PAC ID: 3274701412 Enrollment ID: I20140723000404 |
Provider Name | Christopher A Mendoza |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1659704278 PECOS PAC ID: 4880815992 Enrollment ID: I20141014001703 |
Provider Name | Rajesh Kalra |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1518307875 PECOS PAC ID: 8022325372 Enrollment ID: I20150918000297 |
Provider Name | Sophia Louis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831566561 PECOS PAC ID: 8426355850 Enrollment ID: I20160520001118 |
Provider Name | Robert H Ho |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073920674 PECOS PAC ID: 0143517748 Enrollment ID: I20160926001716 |
Provider Name | Susan Ann Colford-castano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1174906325 PECOS PAC ID: 8820379746 Enrollment ID: I20170106001298 |
Provider Name | Matthew J Schmitz |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1306258256 PECOS PAC ID: 9133490154 Enrollment ID: I20170809000421 |
Provider Name | Mark Kreimer |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1255735221 PECOS PAC ID: 4789955568 Enrollment ID: I20170814000659 |
Provider Name | Tamara S Muller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1053810929 PECOS PAC ID: 6507114584 Enrollment ID: I20180808000416 |
Provider Name | Haroon Arshad |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1942694419 PECOS PAC ID: 6800186149 Enrollment ID: I20190320002418 |
Provider Name | Shany S Shaharabany |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1366910861 PECOS PAC ID: 8123358801 Enrollment ID: I20190923002441 |
Provider Name | Yehuda J Schonfeld |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184922445 PECOS PAC ID: 3779915749 Enrollment ID: I20191112003167 |
Provider Name | Jonathan Maksumov |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063877082 PECOS PAC ID: 0446688147 Enrollment ID: I20200311001741 |
Provider Name | Michael A Castano |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1568096576 PECOS PAC ID: 6507295201 Enrollment ID: I20200401000383 |
Provider Name | Laura C Kounev |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1225521800 PECOS PAC ID: 7012346448 Enrollment ID: I20200406000832 |
Provider Name | Joseph Herskovic |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891322251 PECOS PAC ID: 2668887993 Enrollment ID: I20210219000874 |
Provider Name | Tess Isobel Studholme |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1386292720 PECOS PAC ID: 2264848076 Enrollment ID: I20210302002675 |
Provider Name | Amalthea U.r.p. Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295327864 PECOS PAC ID: 6709293863 Enrollment ID: I20210408000156 |
Provider Name | Moshe Damavandi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235722901 PECOS PAC ID: 8729484290 Enrollment ID: I20210908002898 |
Provider Name | Avrohom Gurvitsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1912531575 PECOS PAC ID: 0749686939 Enrollment ID: I20210914002026 |
Provider Name | Sweden Singh Jaswal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184386286 PECOS PAC ID: 8628468949 Enrollment ID: I20211201000086 |
Provider Name | Carolyn Elizabeth Mobley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467670174 PECOS PAC ID: 5890185730 Enrollment ID: I20211208000142 |
Provider Name | Taina Baker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1619433208 PECOS PAC ID: 8426449356 Enrollment ID: I20220103000436 |
Provider Name | Maytal Dayan |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1598349672 PECOS PAC ID: 8022400480 Enrollment ID: I20220114000040 |
Provider Name | Violet Soyfer |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1962165290 PECOS PAC ID: 1355735275 Enrollment ID: I20220218000600 |
Provider Name | Lena R Farraj |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902553043 PECOS PAC ID: 9638565740 Enrollment ID: I20220329001615 |
Provider Name | Iqra Oza |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205470291 PECOS PAC ID: 8628455961 Enrollment ID: I20220506001426 |
Provider Name | Courtney Boardman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861136913 PECOS PAC ID: 4082091178 Enrollment ID: I20220511000084 |
Provider Name | Mark Profesorske |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1184375693 PECOS PAC ID: 1254718646 Enrollment ID: I20220525000641 |
Provider Name | Quamrun N Nabi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629644729 PECOS PAC ID: 5496133456 Enrollment ID: I20220602002093 |
Provider Name | Shlomo Bauman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1669839031 PECOS PAC ID: 9234517749 Enrollment ID: I20220610002015 |
Provider Name | Bea Kay Marie Chan Pardillo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790415156 PECOS PAC ID: 2860875879 Enrollment ID: I20220823003324 |
Provider Name | Thanyapatt Han |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255096285 PECOS PAC ID: 4688059801 Enrollment ID: I20220923000841 |
Provider Name | Gabrielle Frances Ambrosio |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467183467 PECOS PAC ID: 6305221540 Enrollment ID: I20220923001821 |
Provider Name | Johnine Melinda Sumpter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073077012 PECOS PAC ID: 1254708548 Enrollment ID: I20221028001617 |
Provider Name | Antonio Torres |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114655917 PECOS PAC ID: 2961879838 Enrollment ID: I20221106000014 |
Provider Name | Shalom Lichtenstein |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770289837 PECOS PAC ID: 1456725043 Enrollment ID: I20230322001323 |
Provider Name | Mazhar Khurshid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447957204 PECOS PAC ID: 2961877832 Enrollment ID: I20230406000146 |
Provider Name | Shanika Reid |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1639899289 PECOS PAC ID: 4183083835 Enrollment ID: I20230629000239 |
Provider Name | Varinder Jindal |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558092221 PECOS PAC ID: 7719348150 Enrollment ID: I20230801002114 |
Provider Name | Sherelle Dodson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1144949553 PECOS PAC ID: 9234590258 Enrollment ID: I20230807001768 |
Provider Name | Elina Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689353294 PECOS PAC ID: 5395106322 Enrollment ID: I20230807002419 |
Provider Name | Shirley Liang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1255016267 PECOS PAC ID: 9234592106 Enrollment ID: I20230824002316 |
Provider Name | Warren Sidney Gray |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851076772 PECOS PAC ID: 0840653283 Enrollment ID: I20230831003703 |
Provider Name | Dawn A Parker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730880394 PECOS PAC ID: 3476917832 Enrollment ID: I20230919000183 |
Provider Name | Natasha Gutierrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902595804 PECOS PAC ID: 2567818495 Enrollment ID: I20231027002458 |
Provider Name | Priscilla Owusu Brobbey |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881479509 PECOS PAC ID: 5294182697 Enrollment ID: I20231107000825 |
Provider Name | Kristina Paula Castro |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861174229 PECOS PAC ID: 4385866136 Enrollment ID: I20231108003902 |
Provider Name | Casey Bunker |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1356012975 PECOS PAC ID: 5799179032 Enrollment ID: I20231205001831 |
Provider Name | Asher Kohanteb |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1740043595 PECOS PAC ID: 9234575408 Enrollment ID: I20240311000533 |
Provider Name | Tammy Hufton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1881008639 PECOS PAC ID: 2769603109 Enrollment ID: I20240325003097 |
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