Healthcare Provider Details
I. General information
NPI: 1831273887
Provider Name (Legal Business Name): URGENT ONE MEDICAL CARE P.C.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/25/2006
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
660 CENTRAL AVE SUITE 3
CEDARHURST NY
11516-2303
US
IV. Provider business mailing address
553 WOODMERE BLVD
WOODMERE NY
11598-1920
US
V. Phone/Fax
- Phone: 516-374-2228
- Fax: 516-374-2044
- Phone: 516-374-2228
- Fax: 516-374-2044
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 227584 |
| License Number State | NY |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | 02473265 |
| Identifier Type | MEDICAID |
| Identifier State | NY |
| Identifier Issuer | |
| # 2 | |
| Identifier | 7889474 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | AETNA |
| # 3 | |
| Identifier | P3301418 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | OXFORD HEALTH PLANS |
| # 4 | |
| Identifier | 3C9570 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | HIP HMO |
| # 5 | |
| Identifier | 4358048 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | CIGNA |
| # 6 | |
| Identifier | P12267222 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | MULTIPLAN |
| # 7 | |
| Identifier | 2695881 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | GHI PPO |
| # 8 | |
| Identifier | 000000091456 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | GHI HMO |
| # 9 | |
| Identifier | SD7584 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | ATLANTIS HEALTH PLAN |
| # 10 | |
| Identifier | 602X93 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | EMPIRE BLUE CROSS BLUE SH |
| # 11 | |
| Identifier | 299192P |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | HIP AND HIP HMO |
| # 12 | |
| Identifier | 2404757 |
| Identifier Type | OTHER |
| Identifier State | NY |
| Identifier Issuer | UNITED HEALTH |
VIII. Authorized Official
Name: DR.
DAVID
SIMAI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 516-374-2228
