City of New York Office of Payroll Administration

A Medicare group practice based in Brooklyn, NY: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 9739172644), with 69 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
9739172644The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
NY
Enrollments
1
Group size
14 cliniciansAs Care Compare reports it
Medicare assignment
May accept Medicare assignment
Practice locations
16In 7 places

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20040406001483 NY Part B Supplier - Clinic/Group Practice 1942257035

NPIs in this group 16

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 69

Clinicians who reassign their Medicare benefits to this group (69) or whom Care Compare lists as members (14).

Sources for this page