AVALON MEDICAL CENTER, LLC
NPI 1003591447
Clinic/Center in New Windsor, NY

Active since June 21, 2023CLIA 33D2281483 · Waiver
121 EXECUTIVE DR STE 200, NEW WINDSOR, NY 12553(845) 407-0770 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avalon Medical Center, Llc NPPES

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

AVALON MEDICAL CENTER, LLC (NPI 1003591447) is a healthcare organization registered as a clinic/center in New Windsor, New York and active in the NPI registry since June 2023. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Arthur Kostanian, Member, as its authorized official.

NPPES Registry Identity

NPI1003591447
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameAVALON MEDICAL CENTER, LLC
Location Address121 EXECUTIVE DR STE 200New Windsor, NY 12553-5544
Mailing Address121 Executive Dr Ste 200New Windsor, NY 12553-5544
Organization SubpartNo
Authorized OfficialArthur KostanianMember · (718) 838-0640
Enumeration DateJune 21, 2023
Last NPPES UpdateJune 22, 2023
NPPES CertifiedJune 22, 2023
✔ NPI 1003591447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 13

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedChiropractorTaxonomy 111N00000X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPhysical TherapistTaxonomy 225100000X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
Also ListedClinic/Center · Urgent CareTaxonomy 261QU0200X
121 EXECUTIVE DR STE 200, New Windsor, NY 12553

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Avalon Medical Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

17

Medicare enrollment records show 17 clinicians reassign Medicare billing to Avalon Medical Center, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 11

Physical Therapist in Private Practice4
Nurse Practitioner3
Anesthesiology2
Chiropractic1
Diagnostic Radiology1
Emergency Medicine1
Hospitalist1
Interventional Radiology1
3 other specialties3

Clinicians, nearest first (17)

Chiropractic
NPI 1811385271
30 TREELINE CIR
Cold Spring, NY 10516
(845) 401-7947
✔ Accepts Medicare9.1 mi
Hospitalist
NPI 1528598224
155 CRYSTAL RUN RD
Middletown, NY 10941
(845) 703-6999
✔ PECOS✔ Accepts Medicare15 mi
Emergency Medicine
NPI 1114304698
45 READE PL
Poughkeepsie, NY 12601
(845) 239-6719
✔ PECOS✔ Accepts Medicare16 mi
Physical Therapist in Private Practice
NPI 1487477907
ELITE ORTHOPEDIC AND REHABILITATION 253 ROUTE 211 E
Middletown, NY 10940
(917) 318-5303
✔ Accepts Medicare19 mi
Physical Therapist in Private Practice
NPI 1265015945
41711 MARGARET CT
Pleasant Valley, NY 12569
(845) 480-8478
✔ Accepts Medicare22 mi
Physical Therapist in Private Practice
NPI 1578454252
259 WOODLANDS DR
Tuxedo Park, NY 10987
(845) 671-0571
✔ Accepts Medicare24 mi
Nurse Practitioner
NPI 1972894426
2015 GRAND CONCOURSE
Bronx, NY 10453
(718) 299-7295
✔ PECOS✔ Accepts Medicare45 mi
Physical Therapist in Private Practice
NPI 1366903122
1500 ASTOR AVE STE 2B
Bronx, NY 10469
(347) 843-7070
✔ Accepts Medicare45 mi
Anesthesiology
NPI 1831686062
295 MADISON AVE RM 407
New York, NY 10017
(917) 524-7246
✔ PECOS51 mi
Nurse Practitioner
NPI 1083281521
332 E 14TH ST
New York, NY 10003
(212) 481-3333
✔ PECOS✔ Accepts Medicare52 mi
Interventional Radiology
NPI 1063821726
201 LYONS AVE
Newark, NJ 07112
(973) 926-7960
✔ PECOS54 mi
Anesthesiology
NPI 1295761294
171 ELMORA AVE
Elizabeth, NJ 07202
(201) 560-7611
✔ PECOS57 mi
Neurology
NPI 1730151218
1513 VOORHIES AVE 1ST FLOOR
Brooklyn, NY 11235
(718) 332-7878
✔ PECOS✔ Accepts Medicare62 mi
Physical Medicine and Rehabilitation
NPI 1730471814
37 W END AVE PH 1
Brooklyn, NY 11235
(973) 954-4055
✔ PECOS✔ Accepts Medicare63 mi
Diagnostic Radiology
NPI 1508805805
6 TECHNOLOGY DR STE 100
East Setauket, NY 11733
(631) 689-6698
✔ PECOS63 mi
Pain Management
NPI 1447440300
250 STELTON RD STE 3
Piscataway, NJ 08854
(732) 752-3355
✔ PECOS66 mi
Nurse Practitioner
NPI 1942656285
9225 KENNEDY BLVD #A
North Bergen, NJ 07047
(201) 869-2707
✔ PECOS

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

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 33D2281483

Avalon Medical Center LLC · New Windsor, NY
Active · expires Mar 26, 2027
CLIA Number33D2281483
Laboratory TypeCommunity Clinic
Certificate Effective DateMay 8, 2023
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Francis O. Amarteifio
Laboratory Phone(845) 407-0770
Laboratory LocationAvalon Medical Center LLC121 Executive Dr, New Windsor, NY 12553
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 Avalon Medical Center, LLC's NPI number?

The NPI number for Avalon Medical Center, LLC is 1003591447. It was assigned to this organization in the NPPES registry on June 21, 2023.

Where is Avalon Medical Center, LLC located?

Avalon Medical Center, LLC is located at 121 Executive Dr Ste 200, New Windsor, NY 12553. The listed phone number is (845) 407-0770.

What is Avalon Medical Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Avalon Medical Center, LLC enrolled in Medicare?

Yes. Avalon Medical Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Avalon Medical Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 11 Medicare specialties reassign their Medicare billing to Avalon Medical Center, LLC. 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. The largest specialties are Physical Therapist in Private Practice (4), Nurse Practitioner (3) and Anesthesiology (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Avalon Medical Center, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2281483) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avalon Medical Center, LLC was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.