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AVRAHAM Y HENOCH MD PC
NPI 1003062266
Family Medicine in New York, NY

Active since August 07, 2008CLIA 33D0868798 · Waiver
564 W 160TH ST, NEW YORK, NY 10032(212) 740-6400(212) 740-4105 Get Directions Write a Review

NPPES record last updated: November 30, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Avraham Y Henoch Md Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVRAHAM Y HENOCH MD PC (NPI 1003062266) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since August 2008. The organization holds a CLIA Waiver certificate valid through December 2, 2026 and lists Avraham Y. Henoch, Owner, as its authorized official.

NPPES Registry Identity

NPI1003062266
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameAVRAHAM Y HENOCH MD PC
Location Address564 W 160TH STNew York, NY 10032-6702
Mailing Address2685 Grand ConcourseBronx, NY 10468-3746 · (718) 563-0500 · Fax (718) 563-3706
Phone(212) 740-6400
Fax(212) 740-4105
Organization SubpartNo
Authorized OfficialAvraham Y. HenochOwner · (212) 740-6400
Enumeration DateAugust 7, 2008
Last NPPES UpdateNovember 30, 2010
✔ NPI 1003062266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 168125
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
564 W 160TH ST, New York, NY 10032
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Other Identifiers 6

Medicare UPINB20169NY
Medicaid01009012NY
Medicare PIN1410B1NY
Medicaid03184603NY
Medicare PIN1410B2NY
Medicare PINA100000243NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Avraham Y Henoch Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Avraham Y Henoch MD PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Avraham Henoch, M.D.
Family Practice
NPI 1235113044
564 W 160TH ST
New York, NY 10032
(212) 740-6400
✔ PECOS✔ Accepts MedicareSame address
Daniel Beyda, M.D.
Diagnostic Radiology
NPI 1437136579
4334 BROADWAY
New York, NY 10033
(212) 927-1717
✔ PECOS✔ Accepts Medicare1.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0868798

Avraham Henoch MD PC · New York, NY
Active · expires Dec 2, 2026
CLIA Number33D0868798
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2024
Certificate Expiration DateDecember 2, 2026
Laboratory DirectorAvraham Henoch MD
Laboratory Phone(212) 740-6400
Laboratory LocationAvraham Henoch MD PC564 West 160th Street, New York, NY 10032
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D0892573

Avraham Y Henoch MD PC · Bronx, NY
Expired · Oct 2, 2026
CLIA Number33D0892573
Laboratory TypePhysician Office
Certificate Effective DateOctober 3, 2024
Certificate Expiration DateOctober 2, 2026
Laboratory DirectorAvraham Y. Henoch,md
Laboratory Phone(212) 740-6400
Laboratory LocationAvraham Y Henoch MD PC2685 Grand Concourse, Bronx, NY 10468
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avraham Y Henoch MD PC's NPI number?

The NPI number for Avraham Y Henoch MD PC is 1003062266. It was assigned to this organization in the NPPES registry on August 7, 2008.

Where is Avraham Y Henoch MD PC located?

Avraham Y Henoch MD PC is located at 564 W 160th St, New York, NY 10032. The listed phone number is (212) 740-6400.

What is Avraham Y Henoch MD PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Avraham Y Henoch MD PC enrolled in Medicare?

Yes. Avraham Y Henoch MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avraham Y Henoch MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Avraham Y Henoch MD PC, in Diagnostic Radiology and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Avraham Y Henoch MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0868798) is associated with this NPI, valid through December 2, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avraham Y Henoch MD PC was last updated on November 30, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.