DAVID CARMILI PHYSICIAN PC
NPI 1013075779
Legal Medicine in Ridgewood, NY
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
David Carmili Physician Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to David Carmili Physician PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 33D0873815
David Carmili MD · Ridgewood, NYFrequently 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 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.
Where is David Carmili Physician PC located?
David Carmili Physician PC is located at 714 Seneca Ave, Ridgewood, NY 11385. The listed phone number is (718) 386-6663.
What is David Carmili Physician PC's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is David Carmili Physician PC enrolled in Medicare?
Yes. David Carmili Physician PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through David Carmili Physician PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to David Carmili Physician PC, in Neurology and Pediatric Medicine. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does David Carmili Physician PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0873815) is associated with this NPI, valid through July 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 David Carmili Physician PC was last updated on September 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# David Carmili Physician Pc · NPI 1013075779
Legal Medicine organization in Ridgewood, New York. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1013075779 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Organization subpart:** No
- **Authorized official:** David Carmili, DIRECTOR OFFICER
## Practice location
- **Address:** 714 SENECA AVE, Ridgewood, NY 11385-2895
- **Phone:** (718) 386-6663
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Neurology (1), Pediatric Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2022
- **Other identifiers:** Medicaid 01023972 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013075779) · Data from the CMS NPPES public registry.