EXCEL URGENT CARE OF WANTAGH PLLC NPI 1184067936

NPI Information

NPI: 1184067936
Provider Name: EXCEL URGENT CARE OF WANTAGH PLLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 33D2094680

Address:
3430 SUNRISE HWY
WANTAGH, NY
ZIP 11793
Phone: (516) 900-1600
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EXCEL URGENT CARE OF WANTAGH PLLC is an urgent care clinic center in Wantagh, NY. EXCEL URGENT CARE OF WANTAGH PLLC NPI is 1184067936. The provider is registered as an organization entity type.

The provider's business location address is:

3430 SUNRISE HWY
WANTAGH, NY
ZIP 11793-028
Phone: (516) 900-1600

The provider's authorized official is Anthony R Ruvo .
The authorized official title is Sole Proprietor and has the following contact phone number (845) 565-3700.

The CLIA number assigned to this NPI record is 33D2094680 - other - urgent care with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/11/2013 and was last updated on 8/25/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QU0200X	Clinic/Center	Urgent Care			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03868191	MEDICAID	NEW YORK
2	A100092818	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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