MAIMONIDES FACULTY PRACTICE PLAN
NPI 1053344846
Internal Medicine in Brooklyn, NY
About Maimonides Faculty Practice Plan NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MAIMONIDES FACULTY PRACTICE PLAN (NPI 1053344846) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Ayesha Amin, Senior Vp/ Chief Revenue Officer, 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)
Maimonides Faculty Practice Plan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
1,167Medicare enrollment records show 1,167 clinicians reassign Medicare billing to Maimonides Faculty Practice Plan, which bills Medicare for the services they deliver. Of these, 248 practice at this address and 751 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 60
Nearest to this location (20)
See all 1,167Brooklyn, NY 11219
Brooklyn, NY 11219
Brooklyn, NY 11219
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 33D2034474
Maimonides Faculty Practice Plan · Brooklyn, 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 Maimonides Faculty Practice Plan's NPI number?
The NPI number for Maimonides Faculty Practice Plan is 1053344846. It was assigned to this organization in the NPPES registry on July 8, 2006.
Where is Maimonides Faculty Practice Plan located?
Maimonides Faculty Practice Plan is located at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-8700.
What is Maimonides Faculty Practice Plan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Maimonides Faculty Practice Plan enrolled in Medicare?
Yes. Maimonides Faculty Practice Plan is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Maimonides Faculty Practice Plan?
According to the CMS Revalidation Reassignment List (October 2026 release), 1,167 clinicians in 60 Medicare specialties reassign their Medicare billing to Maimonides Faculty Practice Plan. 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. The largest specialties are Nurse Practitioner (179), Diagnostic Radiology (114) and Internal Medicine (112). Of these, 248 practice at this address and 751 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Maimonides Faculty Practice Plan hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2034474) is associated with this NPI, valid through March 26, 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 Maimonides Faculty Practice Plan was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Maimonides Faculty Practice Plan · NPI 1053344846
Internal Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since July 8, 2006.
## Identity
- **NPI:** 1053344846 (Entity type: Organization)
- **Enumerated:** July 8, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ayesha Amin, SENIOR VP/ CHIEF REVENUE OFFICER
## Practice location
- **Address:** 4802 10TH AVE, Brooklyn, NY 11219-2916
- **Phone:** (718) 283-8700 · **Fax:** (718) 635-8709
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1,167 clinicians in 60 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (179), Diagnostic Radiology (114), Internal Medicine (112); 248 practice at this address and 751 within 10 miles; [full list](https://npiprofile.com/npi/1053344846/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 21, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1053344846) · Data from the CMS NPPES public registry.