OPTUM URGENT CARE, PLLC
NPI 1285975797
Clinic/Center - Urgent Care in Jericho, NY

Active since March 07, 2013CLIA 33D2069243 · Waiver
555 N BROADWAY, JERICHO, NY 11753(516) 622-6000 Get Directions Write a Review

NPPES record last updated: May 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Optum Urgent Care, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OPTUM URGENT CARE, PLLC (NPI 1285975797), doing business as Prohealth Urgent Care, Pllc, is a healthcare organization registered as an urgent care in Jericho, New York and active in the NPI registry since March 2013. The organization holds a CLIA Waiver certificate valid through May 31, 2027 and lists Richard P. Morel, President, as its authorized official.

NPPES Registry Identity

NPI1285975797
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameOPTUM URGENT CARE, PLLC
Location Address555 N BROADWAYJericho, NY 11753-2134
Mailing Address1 Dakota Drive, Suite 320New Hyde Park, NY 11042-1113 · (516) 622-6000 · Fax (516) 622-6068
Organization SubpartYesParent: Prohealth Care Associates Llp
Authorized OfficialRichard P. MorelPresident · (516) 622-6000
Enumeration DateMarch 7, 2013
Last NPPES UpdateMay 6, 2023
NPPES CertifiedMay 6, 2023
NPI 1285975797 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
555 N BROADWAY, Jericho, NY 11753

Other Names 1

Former Legal Business NameProhealth Urgent Care, Pllc

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2069243

Optum Urgent Care PLLC · Jericho, NY
Active · expires May 31, 2027
CLIA Number33D2069243
Laboratory TypePhysician Office
Certificate Effective DateJune 1, 2025
Certificate Expiration DateMay 31, 2027
Laboratory DirectorDr. John Villacci
Laboratory Phone(516) 597-5070
Laboratory LocationOptum Urgent Care PLLC555 North Broadway, Jericho, NY 11753
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
555 N BROADWAY
JERICHO, NY 11753
Physician Assistant
555 N BROADWAY
JERICHO, NY 11753
Emergency Medicine
555 N BROADWAY
JERICHO, NY 11753

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Optum Urgent Care, PLLC's NPI number?

The NPI number for Optum Urgent Care, PLLC is 1285975797. It was assigned to this organization in the NPPES registry on March 7, 2013. The provider was formerly known as Prohealth Urgent Care, PLLC.

Where is Optum Urgent Care, PLLC located?

Optum Urgent Care, PLLC is located at 555 N Broadway, Jericho, NY 11753. The listed phone number is (516) 622-6000.

What is Optum Urgent Care, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Does Optum Urgent Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2069243) is associated with this NPI, valid through May 31, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Optum Urgent Care, PLLC was last updated on May 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.