| Organization Name: | JPR URGENT MEDICAL CARE |
| NPI Number: | 1114172848 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PRITI JAIN (PRESIDENT) |
| Mailing Address: | 412 S Broadway Hicksville |
| State: | NY US |
| Postal Code: | 118015009 |
| Phone Number: | 5169381550 |
| Fax Number: | 5169381554 |
| NPI Enumeration Date: | 11/21/2008 |
| NPI Last Update Date: | 09/18/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 29023847 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |