DAVID CARMILI PHYSICIAN PC
NPI 1013075779
Legal Medicine in Ridgewood, NY

Q: What is David Carmili Physician PC's NPI number?

The NPI number for David Carmili Physician PC is 1013075779. It was assigned to this organization in the NPPES registry on December 5, 2006.

Q: What is David Carmili Physician PC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Active since December 05, 2006CLIA 33D0873815 · Waiver

714 SENECA AVE, RIDGEWOOD, NY 11385(718) 386-6663 Get Directions Write a Review

NPPES record last updated: September 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About David Carmili Physician Pc NPPES

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

DAVID CARMILI PHYSICIAN PC (NPI 1013075779) is a healthcare organization registered as a legal medicine in Ridgewood, New York and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists David Carmili, Director Officer, as its authorized official.

NPPES Registry Identity

NPI1013075779

Entity TypeOrganization

Primary Taxonomy173000000X

Legal Business NameDAVID CARMILI PHYSICIAN PC

Location Address714 SENECA AVERidgewood, NY 11385-2895

Mailing Address714 Seneca AveRidgewood, NY 11385-2895 · (718) 386-6663

Phone(718) 386-6663

Organization SubpartNo

Authorized OfficialDavid CarmiliDirector Officer · (718) 386-6663

Enumeration DateDecember 5, 2006

Last NPPES UpdateSeptember 12, 2022

NPPES CertifiedSeptember 12, 2022

✔ NPI 1013075779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers

Taxonomy Code173000000X

License✔ Licensed in NY · 171109

Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

714 SENECA AVE, Ridgewood, NY 11385

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Other Identifiers 1

Medicaid01023972NY

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

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 33D0873815

David Carmili MD · Ridgewood, NY

Active · expires Jul 26, 2027

CLIA Number33D0873815

Laboratory TypePhysician Office

Certificate Effective DateJuly 27, 2025

Certificate Expiration DateJuly 26, 2027

Laboratory DirectorDavid Carmili MD

Laboratory Phone(718) 386-6663

Laboratory LocationDavid Carmili MD714 Seneca Ave, Ridgewood, NY 11385

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GARY COHEN

Specialist