| Ultra Care Urgent And Family Care | |
|
511 Pierce St Kingston PA 18704-5731 | |
| (570) 714-3333 | |
| (570) 338-3993 |
| Full Name | Ultra Care Urgent And Family Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 511 Pierce St, Kingston, Pennsylvania |
| Authorized Official Name and Position | Ibrahim Moustafa Almeky (MD/OWNER) |
| Authorized Official Contact | 5707143333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Care Urgent And Family Care Po Box 1935 Kingston PA 18704-0935 Ph: (570) 714-3333 | Ultra Care Urgent And Family Care 511 Pierce St Kingston PA 18704-5731 Ph: (570) 714-3333 |
| NPI Number | 1205334729 |
|---|---|
| Provider Enumeration Date | 01/30/2018 |
| Last Update Date | 12/29/2023 |
| Medicare PECOS PAC ID | 1951662063 |
|---|---|
| Medicare Enrollment ID | O20180307000606 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205334729 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Primary |
| Provider Name | Ibrahim M Almeky |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750477139 PECOS PAC ID: 7719074889 Enrollment ID: I20080102000355 |
| Provider Name | Essam M Almeky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548442684 PECOS PAC ID: 8022198688 Enrollment ID: I20130218000175 |
| Provider Name | Laurie Ann Nilsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326599523 PECOS PAC ID: 9335420793 Enrollment ID: I20161227001484 |
| Provider Name | Soohan Mansuri |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194179887 PECOS PAC ID: 1153617527 Enrollment ID: I20190909002304 |
| Provider Name | Heather Tiffany Rosa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356906598 PECOS PAC ID: 1557788668 Enrollment ID: I20200903000005 |
| Provider Name | Rachel Dawn Matteucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831747898 PECOS PAC ID: 8527488790 Enrollment ID: I20201009001593 |
| Provider Name | Thomas Mickowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053997999 PECOS PAC ID: 8729457080 Enrollment ID: I20221207003216 |
| Provider Name | Glorymardy Cruz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124786041 PECOS PAC ID: 2466821715 Enrollment ID: I20221208003289 |
| Provider Name | Emily Margaret Rogan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508594193 PECOS PAC ID: 7012379902 Enrollment ID: I20230809001349 |
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