# MODERN PHYSICIAN SERVICES PC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** ModernMD Urgent Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932590601
- **Authorized official:** ANDREW SHULMAN (CEO)
- **Authorized official phone:** (646) 741-1511

## Contact information

- **Practice address:** 68 GRAHAM AVE, BROOKLYN, NY 11206-4017
- **Practice address phone:** (644) 593-8773
- **Practice address fax:** (417) 429-2893
- **Mailing address:** 85 BROAD ST FL 18, NEW YORK, NY 10004-2783
- **Mailing address phone:** (646) 604-8120

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/16/2015
- **Last updated:** 06/13/2025