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FLORAL PARK MEDICAL PC
NPI 1023147378
Internal Medicine in Floral Park, NY

Active since March 05, 2007CLIA 33D2007802 · Waiver
25720 HILLSIDE AVE, FIRST FLOOR, FLORAL PARK, NY 11004(917) 903-3885 Get Directions Write a Review

NPPES record last updated: September 11, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Floral Park Medical Pc NPPES

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

FLORAL PARK MEDICAL PC (NPI 1023147378) is a healthcare organization registered as an internal medicine in Floral Park, New York and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Himanshu Pandya, President, as its authorized official.

NPPES Registry Identity

NPI1023147378
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFLORAL PARK MEDICAL PC
Location Address25720 HILLSIDE AVE, FIRST FLOORFloral Park, NY 11004-1653
Mailing Address34 Tottenham PlNew Hyde Park, NY 11040-3517 · (516) 873-0304
Phone(917) 903-3885
Organization SubpartNo
Authorized OfficialHimanshu PandyaPresident · (917) 903-3885
Enumeration DateMarch 5, 2007
Last NPPES UpdateSeptember 11, 2008
✔ NPI 1023147378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 232885
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
25720 HILLSIDE AVE, Floral Park, NY 11004
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Other Identifiers 2

Medicare PINW12521NY
Medicare PIN08027

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Floral Park Medical Pc 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 Floral Park Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Himanshu Pandya, MD
Internal Medicine
NPI 1003896929
25720 HILLSIDE AVE
Floral Park, NY 11004
(718) 831-6600
✔ PECOS✔ Accepts MedicareSame address

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 33D2007802

Floral Park Medical PC · Floral Park, NY
Active · expires Jan 15, 2027
CLIA Number33D2007802
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorDr. Himanshu Pandya
Laboratory Phone(718) 831-6600
Laboratory LocationFloral Park Medical PC257-20 Hillside Ave 1st Floor, Floral Park, NY 11004
CLIA data matches this NPI record on: Name
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 Floral Park Medical PC's NPI number?

The NPI number for Floral Park Medical PC is 1023147378. It was assigned to this organization in the NPPES registry on March 5, 2007.

Where is Floral Park Medical PC located?

Floral Park Medical PC is located at 25720 Hillside Ave First Floor, Floral Park, NY 11004. The listed phone number is (917) 903-3885.

What is Floral Park Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Floral Park Medical PC enrolled in Medicare?

Yes. Floral Park Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Floral Park Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Floral Park Medical PC. 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 Floral Park Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2007802) is associated with this NPI, valid through January 15, 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 Floral Park Medical PC was last updated on September 11, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.