Organization Active NPI

Accord Medical Care PC

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1912549262
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
ACCORD MEDICAL CARE PC
Practice address
150 Centre St
New York, NY 10013-4103
Phone
(212) 203-6683
Fax
(332) 220-0215
NPI assigned
Oct 8, 2019
Reactivated
May 11, 2023
Last updated
Jan 9, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Authorized official

Name
Ms. Virginia Chen
Title
Senior Manager
Phone
(212) 965-9888

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X Primary
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RE0101X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

150 Centre St
New York, NY 10013-4103

Mailing address

202 Canal St Ste 500
New York, NY 10013-4517

Other practice location 1

5521 8th Ave Fl 5
Brooklyn, NY 11220-3515
Phone (718) 500-3998

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200316001400 NY Part B Supplier - Clinic/Group Practice 7517395080 Receives reassigned benefits from 6 practitioners
Practice locations: New York, NY; Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2189576Accord Medical Care PC150 Centre Street, New York, NY 10013Certificate of waiverAug 2, 2026
33D2189578Accord Medical Care PC5521 8TH Ave #5, Brooklyn, NY 11220Certificate of waiverAug 2, 2026

National Provider Directory

National Provider Directory

Locations

5521 8th Ave
#5
Brooklyn, NY 11220
Phone (718) 500-3998

5521 8th Ave
Fl 5
Brooklyn, NY 11220
Phone (718) 500-3998

150 Centre St
New York, NY 10013
Phone (212) 203-6683

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1570492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736380800000",
    "number": "1912549262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 CANAL ST STE 500",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 CENTRE ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134103",
            "telephone_number": "212-203-6683",
            "fax_number": "332-220-0215"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5521 8th Ave Fl 5",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112203515",
            "country_code": "US",
            "telephone_number": "718-500-3998",
            "fax_number": "917-779-8037",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ACCORD MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-08",
        "last_updated": "2025-01-09",
        "certification_date": "2025-01-09",
        "deactivation_date": "2023-04-03",
        "reactivation_date": "2023-05-11",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "SENIOR MANAGER",
        "authorized_official_telephone_number": "212-965-9888",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.