AVENUE X PRIMARY MEDICAL CARE P.C.
NPI 1053415661
Clinic/Center - Multi-Specialty in Brooklyn, NY
About Avenue X Primary Medical Care P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVENUE X PRIMARY MEDICAL CARE P.C. (NPI 1053415661) is a healthcare organization registered as a multi-specialty in Brooklyn, New York and active in the NPI registry since September 2006. The organization lists Lev J. Paukman, M.d., Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Avenue X Primary Medical Care P.c. 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 Avenue X Primary Medical Care P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Avenue X Primary Medical Care P.C.'s NPI number?
The NPI number for Avenue X Primary Medical Care P.C. is 1053415661. It was assigned to this organization in the NPPES registry on September 12, 2006.
Where is Avenue X Primary Medical Care P.C. located?
Avenue X Primary Medical Care P.C. is located at 2727 Coney Island Ave Ste 1B, Brooklyn, NY 11235. The listed phone number is (718) 376-6500.
What is Avenue X Primary Medical Care P.C.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Avenue X Primary Medical Care P.C. enrolled in Medicare?
Yes. Avenue X Primary Medical Care P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Avenue X Primary Medical Care P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Avenue X Primary Medical Care P.C.. 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.
When was this NPI record last updated?
The NPPES record for Avenue X Primary Medical Care P.C. was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Avenue X Primary Medical Care P.c. · NPI 1053415661
Multi-Specialty organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since September 12, 2006.
## Identity
- **NPI:** 1053415661 (Entity type: Organization)
- **Enumerated:** September 12, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Lev Paukman, M.d., MEDICAL DIRECTOR
## Practice location
- **Address:** 2727 CONEY ISLAND AVE STE 1B, Brooklyn, NY 11235-5004
- **Phone:** (718) 376-6500 · **Fax:** (718) 376-5078
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 15, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1053415661) · Data from the CMS NPPES public registry.