SQUARE HEALTH CARE NP IN FAMILY HEALTH, PLLC
NPI 1013643832
Nurse Practitioner - Family in Jackson Heights, NY
About Square Health Care Np In Family Health, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SQUARE HEALTH CARE NP IN FAMILY HEALTH, PLLC (NPI 1013643832) is a healthcare organization registered as a family in Jackson Heights, New York and active in the NPI registry since July 2022. The organization holds a CLIA Waiver certificate valid through December 1, 2026 and lists Ferdousi Begum, Family Nurse Practioner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Square Health Care Np In Family Health, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Square Health Care Np In Family Health, PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 33D2272943
Square Health Care Np In Family Health PLLC · Jackson Heights, 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 Square Health Care Np In Family Health, PLLC's NPI number?
The NPI number for Square Health Care Np In Family Health, PLLC is 1013643832. It was assigned to this organization in the NPPES registry on July 25, 2022.
Where is Square Health Care Np In Family Health, PLLC located?
Square Health Care Np In Family Health, PLLC is located at 7514 37th Ave, Jackson Heights, NY 11372. The listed phone number is (718) 433-9333.
What is Square Health Care Np In Family Health, PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Square Health Care Np In Family Health, PLLC enrolled in Medicare?
Yes. Square Health Care Np In Family Health, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Square Health Care Np In Family Health, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Square Health Care Np In Family Health, PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Square Health Care Np In Family Health, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2272943) is associated with this NPI, valid through December 1, 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 Square Health Care Np In Family Health, PLLC was last updated on March 29, 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.
# Square Health Care Np In Family Health, Pllc · NPI 1013643832
Family organization in Jackson Heights, New York. Organization record, active in the CMS NPPES registry since July 25, 2022.
## Identity
- **NPI:** 1013643832 (Entity type: Organization)
- **Enumerated:** July 25, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Ferdousi Begum, FAMILY NURSE PRACTIONER
## Practice location
- **Address:** 7514 37TH AVE, Jackson Heights, NY 11372-6538
- **Phone:** (718) 433-9333 · **Fax:** (718) 433-9445
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 29, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013643832) · Data from the CMS NPPES public registry.