GRACE FAMILY MEDICAL PRACTICE PC
NPI 1043232143
Legal Medicine in Brooklyn, NY

Active since July 25, 2006
1222 E 96TH ST, 2ND FL, BROOKLYN, NY 11236(718) 257-3355(718) 257-4562 Get Directions Write a Review

NPPES record last updated: January 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 9, 2026, Mar 4, 2021, Feb 4, 2020 (3 updates tracked since 2020).

About Grace Family Medical Practice Pc NPPES

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

GRACE FAMILY MEDICAL PRACTICE PC (NPI 1043232143) is a healthcare organization registered as a legal medicine in Brooklyn, New York and active in the NPI registry since July 2006. The organization lists Bernadette Lizina Sheridan, Md, as its authorized official.

NPPES Registry Identity

NPI1043232143
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameGRACE FAMILY MEDICAL PRACTICE PC
Location Address1222 E 96TH ST, 2ND FLBrooklyn, NY 11236-3903
Mailing Address1222 E 96th St, 2nd FloorBrooklyn, NY 11236-3903 · (718) 257-3355 · Fax (718) 257-4562
Fax(718) 257-4562
Organization SubpartNo
Authorized OfficialBernadette Lizina SheridanMd · (718) 257-3355
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 9, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2026
✔ NPI 1043232143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in NY · 149698
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
1222 E 96TH ST, Brooklyn, NY 11236

Other Identifiers 21

Other0576775NY · Aetna Hmo
Other080412000004NY · Fideliscare
Other172447NY · Wellcare
Other000109940101NY · Health Plus
Other1P1174NY · Healthnet
Other08P6021New York Presbyterian
Other149698NY · Hip
Other5995872NY · Ghi
Medicaid03803192NY
Other1043232143NY · Healthcare Partners
Other1043232143NY · Emblem Health
Other115438NY · Ghi Hmo
Other149698-A16NY · Healthfirst
Other311913NY · United Health Care
Other5760228NY · Aetna Com
Other160955NY · Elder Plan
Other5462A1NY · Empire Bc Bs
OtherP1078363NY · Oxford
Medicaid00778863NY
Other0901918NY · Cigna
Other1000036958NY · Affinity

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)

Grace Family Medical Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Grace Family Medical Practice PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1497748446
1222 E 96TH ST
Brooklyn, NY 11236
(718) 257-3355
✔ PECOSSame address
Family Practice
NPI 1639162365
1222 E 96TH ST
Brooklyn, NY 11236
(718) 257-3355
✔ PECOSSame address

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

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 Grace Family Medical Practice PC's NPI number?

The NPI number for Grace Family Medical Practice PC is 1043232143. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Grace Family Medical Practice PC located?

Grace Family Medical Practice PC is located at 1222 E 96th St 2nd Fl, Brooklyn, NY 11236. The listed phone number is (718) 257-3355.

What is Grace Family Medical Practice PC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Grace Family Medical Practice PC enrolled in Medicare?

Yes. Grace Family Medical Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Grace Family Medical Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Grace Family Medical Practice PC, in Family Practice and Nurse Practitioner. 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, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Grace Family Medical Practice PC was last updated on January 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.