NPIMap

Organization Active NPI

Metro Community Health Centers, Inc.

  • Federally Qualified Health Center (FQHC)
  • New York, NY
National Provider Identifier
1649837113
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
METRO COMMUNITY HEALTH CENTERS, INC.
Practice address
335 E 24TH St Ste 1B
New York, NY 10010-4020
Phone
(212) 209-5102
NPI assigned
May 21, 2019
Last updated
Mar 23, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Xayveon Williams
Title
Contract & Credentialing Manager
Phone
(718) 665-7565

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary

Addresses

Primary practice location

335 E 24TH St Ste 1B
New York, NY 10010-4020

Mailing address

979 Cross Bronx Expy
Bronx, NY 10460-4885
Phone (516) 316-3957

Other identifiers 1

IdentifierTypeStateIssuer
06085529MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20140912000473 NY Part B Supplier - Clinic/Group Practice 8921227687 Receives reassigned benefits from 58 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bronx, NY; Brooklyn, NY; New York, NY; Staten Island, NY
O20200720001897 NY Part A Provider - Federally Qualified Health Center (FQHC) 8921227687 Practice locations: New York, NY

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649837113. Details of each certification follow.

Federally qualified health center certification: CCN 571801

Legal name
METRO COMMUNITY HEALTH CENTERS INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jul 22, 2020
Last certification
Jul 22, 2020
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 2, 2012 in NY
Enrollment address
335 East 24TH Street
Ste 1B
New York, NY 10010

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Metro Community Health Centers Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

Locations

842 Lefferts Ave
Brooklyn, NY 11203
Phone (718) 778-8587

335 E 24th St
Ste 1B
New York, NY 10010
Phone (212) 209-5102

5140 59th St
Woodside, NY 11377
Phone (718) 205-0708

Ownership & related parties

All disclosed owners & managing parties 15

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Joseph Pancari Individual Corporate DirectorBoard Member May 1, 2018
James Johansen Individual Corporate DirectorBoard Chairman Nov 2, 2012
Rita Marie Bilello Individual Corporate OfficerCeo Sep 8, 2015
Lynn C Arola Individual Corporate DirectorBoard Member Nov 2, 2012
Jacqueline Rumolo Individual Corporate DirectorBoard Member Jan 1, 2017
Mae Covington-Coggins Individual Corporate DirectorBoard Secretary Nov 2, 2012
Carolyn Driscoll Individual Corporate Director Nov 24, 2015
Monique Dennis-Farrington Individual Corporate DirectorBoard Member Nov 2, 2012
Judith Delasi Individual Corporate DirectorBoard Member Oct 1, 2016
Gilbert Plaza Individual Corporate DirectorBoard Member Sep 1, 2015
Nellie Santiago-Rivera Individual Corporate Officer Nov 21, 2016
W-2 Managing Employee Nov 21, 2016
Jacqueline Tripodi Individual Corporate DirectorBoard Member Sep 1, 2018
Howard Siegel Individual Corporate DirectorTreasurer Nov 2, 2012
Linda Tempel Individual Corporate DirectorVice Chair Sep 1, 2015
Carlos Blanco Individual Corporate DirectorBoard Member Feb 13, 2019

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 52

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 52

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774224000000",
    "number": "1649837113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "979 CROSS BRONX EXPY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104604885",
            "telephone_number": "516-316-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 E 24TH ST STE 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104020",
            "telephone_number": "212-209-5102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO COMMUNITY HEALTH CENTERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "XAYVEON",
        "authorized_official_title_or_position": "CONTRACT & CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "718-665-7565"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06085529",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.