BROCKPORT ASAP MEDICAL CARE
NPI 1477996353
Clinic/Center - Urgent Care in Brockport, NY

Active since April 10, 2013CLIA 33D2060532 · Waiver
6565 4TH SECTION RD, SUITE 100, BROCKPORT, NY 14420(585) 637-7006 Get Directions Write a Review

NPPES record last updated: April 10, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brockport Asap Medical Care NPPES

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

BROCKPORT ASAP MEDICAL CARE (NPI 1477996353) is a healthcare organization registered as an urgent care in Brockport, New York and active in the NPI registry since April 2013. The organization holds a CLIA Waiver certificate valid through June 11, 2027 and lists Hany G Nissiem, President, as its authorized official.

NPPES Registry Identity

NPI1477996353
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameBROCKPORT MEDICAL CARE PLLC
Location Address6565 4TH SECTION RD, SUITE 100Brockport, NY 14420-2414
Mailing Address6565 4th Section Rd, Suite 300Brockport, NY 14420-2414 · (585) 395-0620 · Fax (585) 395-0622
Organization SubpartNo
Authorized OfficialHany G NissiemPresident · (585) 637-7006
Enumeration DateApril 10, 2013
NPI 1477996353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License Licensed in NY · 227675
6565 4TH SECTION RD, Brockport, NY 14420

Other Names 1

Doing Business AsBrockport Asap Medical Care

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 33D2060532

Brockport Medical Care, PLLC · Brockport, NY
Active · expires Jun 11, 2027
CLIA Number33D2060532
Laboratory TypePhysician Office
Certificate Effective DateJune 12, 2025
Certificate Expiration DateJune 11, 2027
Laboratory DirectorDr. Hany G. Nissiem
Laboratory Phone(585) 637-7006
Laboratory LocationBrockport Medical Care, PLLC6565 4th Section Road, Suite 100, Brockport, NY 14420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Podiatrist (Foot & Ankle Surgery)
6565 4TH SECTION RD, SUITE 700
BROCKPORT, NY 14420
Podiatrist (Foot & Ankle Surgery)
6565 4TH SECTION RD, SUITE 700
BROCKPORT, NY 14420

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 Brockport Medical Care PLLC's NPI number?

The NPI number for Brockport Medical Care PLLC is 1477996353. It was assigned to this organization in the NPPES registry on April 10, 2013. The provider is doing business as Brockport Asap Medical Care.

Where is Brockport Medical Care PLLC located?

Brockport Medical Care PLLC is located at 6565 4th Section Rd Suite 100, Brockport, NY 14420. The listed phone number is (585) 637-7006.

What is Brockport Medical Care PLLC's specialty?

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

Does Brockport Medical Care PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2060532) is associated with this NPI, valid through June 11, 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 Brockport Medical Care PLLC was last updated on April 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.