GREENVILLE MEDICAL ASSOCIATE, PC
NPI 1033141932
Family Medicine in Greenville, NY

Active since July 07, 2006
77 COUNTY ROUTE 26A, GREENVILLE, NY 12083(518) 966-4433(518) 966-4728 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Greenville Medical Associate, Pc NPPES

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

GREENVILLE MEDICAL ASSOCIATE, PC (NPI 1033141932) is a healthcare organization registered as a family medicine in Greenville, New York and active in the NPI registry since July 2006. The organization lists Walter W. Hubicki, President, as its authorized official.

NPPES Registry Identity

NPI1033141932
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREENVILLE MEDICAL ASSOCIATE, PC
Location Address77 COUNTY ROUTE 26AGreenville, NY 12083-3921
Mailing AddressPo Box 98Greenville, NY 12083-0098 · (518) 966-4433 · Fax (518) 966-4728
Fax(518) 966-4728
Organization SubpartNo
Authorized OfficialWalter W. HubickiPresident · (518) 966-4433
Enumeration DateJuly 7, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1033141932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 227740
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
77 COUNTY ROUTE 26A, Greenville, NY 12083

Other Identifiers 9

Medicaid02506687NY
Other2339383NY · Unitedhealthcare
Other711974NY · Mvp
Other000000077419NY · Ghi Hmo
OtherK262NY · Cdphp Group #
Other239713NY · Wellcare
Other5996886NY · Ghi Ppo
OtherBSNENYNY · 000404955001
Other7828474NY · Aetna

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 33D1029598

Greenville Medical Associates · Greenville, NY
Expired · Aug 18, 2026
CLIA Number33D1029598
Laboratory TypePhysician Office
Certificate Effective DateAugust 19, 2024
Certificate Expiration DateAugust 18, 2026
Laboratory DirectorWalter W. Hubicki
Laboratory Phone(518) 966-4433
Laboratory LocationGreenville Medical Associates77 Route 26A, Greenville, NY 12083
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
77 COUNTY ROUTE 26A
GREENVILLE, NY 12083

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 Greenville Medical Associate, PC's NPI number?

The NPI number for Greenville Medical Associate, PC is 1033141932. It was assigned to this organization in the NPPES registry on July 7, 2006.

Where is Greenville Medical Associate, PC located?

Greenville Medical Associate, PC is located at 77 County Route 26A, Greenville, NY 12083. The listed phone number is (518) 966-4433.

What is Greenville Medical Associate, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Greenville Medical Associate, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.