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PHYSICIANONE URGENT CARE- DERBY
NPI 1629461116
Clinic/Center - Urgent Care in Derby, CT

Active since March 09, 2015
78 PERSHING DR, DERBY, CT 06418(203) 516-5307 Get Directions Write a Review

NPPES record last updated: March 9, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Physicianone Urgent Care- Derby NPPES

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

PHYSICIANONE URGENT CARE- DERBY (NPI 1629461116) is a healthcare organization registered as an urgent care in Derby, Connecticut and active in the NPI registry since March 2015. The organization lists Jeannie M Kenkare, Chief Medical Officer, as its authorized official.

NPPES Registry Identity

NPI1629461116
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameURGENT CARE OF DERBY, LLC
Location Address78 PERSHING DRDerby, CT 06418-1433
Mailing Address2928 Main StGlastonbury, CT 06033-1007 · (860) 657-8289 · Fax (860) 657-8291
Phone(203) 516-5307
Organization SubpartNo
Authorized OfficialJeannie M KenkareChief Medical Officer · (860) 657-8289
Enumeration DateMarch 9, 2015
✔ NPI 1629461116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
78 PERSHING DR, Derby, CT 06418
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Other Names 1

Doing Business AsPhysicianone Urgent Care- Derby

Other Identifiers 5

Medicaid008049245CT
Medicaid008056635CT
Medicare PIND100052876CT
Medicaid008049246CT
Medicaid008049195CT

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.

NIKOLETT KOCSIS PA-C
Physician Assistant
78 PERSHING DR
DERBY, CT 06418
Naugatuck Valley Planning Region (035) 165-3072
OTTILIE T ROSE MD
Pediatrics
78 PERSHING DR
DERBY, CT 06418
Naugatuck Valley Planning Region (203) 709-8873

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 Urgent Care Of Derby, LLC's NPI number?

The NPI number for Urgent Care Of Derby, LLC is 1629461116. It was assigned to this organization in the NPPES registry on March 9, 2015. The provider is doing business as Physicianone Urgent Care- Derby.

Where is Urgent Care Of Derby, LLC located?

Urgent Care Of Derby, LLC is located at 78 Pershing Dr, Derby, CT 06418. The listed phone number is (203) 516-5307.

What is Urgent Care Of Derby, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Urgent Care Of Derby, LLC was last updated on March 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.