Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

1110 Pennsylvania Avenue Medical Pllc

Urgent Care Clinic/Center in Brooklyn, NY · enumerated 2016 · authorized official Jacqueline Storey, Physician.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1730638115

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Registry record

Entity type Organization (Type 2)

Legal business name 1110 Pennsylvania Avenue Medical Pllc

Practice address 1110 Pennsylvania Ave, Suite 5, Brooklyn, NY, 11207

Phone (646) 942-2842

Enumeration date Sep 27, 2016

Last updated in NPPES Oct 5, 2016

Taxonomy & classification

261QU0200X Urgent Care Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Jacqueline Storey

Title Physician

Phone (646) 942-2842

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is 1110 Pennsylvania Avenue Medical Pllc?

1110 Pennsylvania Avenue Medical Pllc is registered in NPPES as a Urgent Care Clinic/Center (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-10-05.