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CLARIDGE HENRIQUEZ
NPI 1013882125
Nurse Practitioner - Family in Valley Stream, NY

Active since October 08, 2025PECOS Enrolled
20 THOMPSON ST, VALLEY STREAM, NY 11580(347) 968-8015 Get Directions Write a Review

NPPES record last updated: October 8, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Claridge Henriquez NPPES

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

CLARIDGE HENRIQUEZ (NPI 1013882125) is an individual family provider in Valley Stream, New York, licensed in New York (357035) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1013882125
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCLARIDGE HENRIQUEZ
Location Address20 THOMPSON STValley Stream, NY 11580-2037
Mailing Address20 Thompson StValley Stream, NY 11580-2037
Phone(347) 968-8015
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 8, 2025
NPPES CertifiedOctober 8, 2025
✔ NPI 1013882125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · 357035
20 THOMPSON ST, Valley Stream, NY 11580
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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, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Claridge Henriquez is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8729567458
PECOS Enrollment IDI20260212000042
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Claridge Henriquez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York University
9.5 mi
Specialist
9785 QUEENS BLVD
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1285826438 (New York)
  • 1,074 clinicians in this Medicare group
NPI 1669422879 (718) 261-9100
Jose A Goris, MD PC
18 mi
General Practice
435 FORT WASHINGTON AVE, SUITE 1C
New York, NY 10033
  • Reassigned Medicare billing, New York enrollment
  • 7 clinicians in this Medicare group
NPI 1477673077 (212) 923-0408

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11580 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Claridge Henriquez's NPI number?

The NPI number for Claridge Henriquez is 1013882125. It was assigned to this individual provider in the NPPES registry on October 8, 2025.

Where is Claridge Henriquez located?

Claridge Henriquez practices at 20 Thompson St, Valley Stream, NY 11580. The listed phone number is (347) 968-8015.

What is Claridge Henriquez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Claridge Henriquez enrolled in Medicare?

Yes. Claridge Henriquez is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Claridge Henriquez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Claridge Henriquez reassigns Medicare benefits to 2 organizations: New York University (Rego Park, NY) and Jose A Goris, MD PC (New York, NY). Each 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 Claridge Henriquez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Claridge Henriquez was last updated on October 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.