MODERN PHYSICIAN SERVICES PC (NPI# 1932590601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932590601 |
| Entity Type | Organization |
| Organization Name | MODERN PHYSICIAN SERVICES PC |
| Other Organization Name | MODERNMD URGENT CARE |
| Practice Address |
68 Graham Ave Brooklyn NY 11206-4017 |
| Mailing Address |
85 Broad St Fl 18 New York NY 10004-2783 |
| Practice Telephone | 6445938773 |
| Practice Fax Number | 4174292893 |
| Mailing Telephone | 6465938773 |
| Enumeration Date | 2015-02-16 |
| Last Update Date | 2018-02-06 |
| Authorized Official Name | THOMAS JOE BYERS (CEO) |
| Authorized Official Telephone | 6465938773 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities | ||
| Y | 261QU0200X |
Clinic/Center Specialization: Urgent Care |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ModernMD Urgent Care | Doing Business As Name - Organization |
| Street Address |
68 GRAHAM AVE |
| City | BROOKLYN |
| State | NY |
| Zip Code | 11206-4017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255957684 | Armyda Montoya Novoa | Student in an Organized Health Care Education/Training Program | Woodhull Medical Center, 760 Broadway, Brooklyn, NY 11206 | 2020-06-22 |
| 1528684107 | Elizabeth Nana Ama Sarporma Osei-kuffuor | Student in an Organized Health Care Education/Training Program | 760 Broadway Woodhull Hospital, Pediatrics Administration 6b23, Brooklyn, NY 11206 | 2020-06-19 |
| 1356965057 | Ishan Poudel | Student in an Organized Health Care Education/Training Program | 760 Broadway, Woodhull Medical and Mental Health Center, Gme - Room 10a216, Brooklyn, NY 11206 | 2020-05-29 |
| 1538721303 | Osarodion Osa Igbinomwanhia | Student in an Organized Health Care Education/Training Program | Woodhull Address 760 Broadway, Department of Pediatrics Room 6b23, New York, NY 11206 | 2019-07-02 |
| 1043872955 | Olajide A Sowemimo | Student in an Organized Health Care Education/Training Program | Dept of Pediatrics, Woodhull Hospital, Room 6b23, 760 Broadway, New York, NY 11206 | 2019-07-01 |
| 1184284895 | Jacqueline So | Student in an Organized Health Care Education/Training Program | 760 Broadway, Room 2c319, Brooklyn, NY 11206 | 2019-06-14 |
| 1326607722 | Nicole Chamak | Speech-Language Pathologist | Ps 141k@380, 370 Marcy Ave - Speech Dept, Brooklyn, NY 11206 | 2019-06-10 |
| 1831660356 | Sheena Erica Purcell | Registered Nurse | White Glove Community Care, Inc., 89 Barlett St, 2nd Floor, Brooklyn, NY 11206 | 2018-12-10 |
| 1922578145 | Robert A Rodriguez | Social Worker | 630 Fushing Ave, Brooklyn, NY 11206 | 2018-11-30 |
| 1346724085 | Evelyn Wreh Larbie | Licensed Practical Nurse | White Glove Community Care, 89 Bartlett Street, Brooklyn, NY 11206 | 2018-09-19 |
| Find all providers in zip 11206 | ||||
| Taxonomy Code | 261QU0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Urgent Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599578 | Rite Medical Care PC | Clinic/Center | 504 Myrtle Ave, Brooklyn, NY 11205-3542 | 2020-05-14 |
| 1851924294 | Tbhc Medical Services PC | Clinic/Center | 514 Fulton Street, Brooklyn, NY 11201 | 2020-02-13 |
| 1811539323 | Asjs Medical, Pllc | Clinic/Center | 1880 Prospect Pl, Brooklyn, NY 11233-4715 | 2019-10-16 |
| 1417517012 | City Medical of Upper East Side, Pllc | Clinic/Center | 1243 Fulton St, Brooklyn, NY 11216-2004 | 2019-06-17 |
| 1427546522 | City Medical of Upper East Side, Pllc | Clinic/Center | 5024 5th Ave, Brooklyn, NY 11220-1909 | 2018-04-25 |
| 1386132470 | City Medical of Upper East Side, Pllc | Clinic/Center | 712 Brighton Beach Ave, Brooklyn, NY 11235-6412 | 2018-04-25 |
| 1669905840 | City Medical of Upper East Side, Pllc | Clinic/Center | 135 Montague Street, Brooklyn, NY 11201 | 2017-04-05 |
| 1982057584 | Brooklyn Urgent Care of Marine Park Pllc | Clinic/Center | 144 E 98th St Ste B, Brooklyn, NY 11212-3808 | 2016-07-19 |
| 1134583099 | Fem Gyn Urgent Care Wellness Pllc | Clinic/Center | 175-7th Avenue, Brooklyn, NY 11215 | 2016-04-07 |
| 1649630682 | Brooklyn Urgent Care of Boro Park Pllc | Clinic/Center | 3909 13th Ave, Brooklyn, NY 11218-3605 | 2016-03-03 |
| Find all providers in BROOKLYN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.