WILLOW PARK MEDICAL HEALTH PC
NPI 1063219475
Clinic/Center - Multi-Specialty in Glen Head, NY
About Willow Park Medical Health Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WILLOW PARK MEDICAL HEALTH PC (NPI 1063219475) is a healthcare organization registered as a multi-specialty in Glen Head, New York and active in the NPI registry since February 2025. The organization lists Azmat Iqbal, Physician, 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)
Willow Park Medical Health Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
13Medicare enrollment records show 13 clinicians reassign Medicare billing to Willow Park Medical Health PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (13)
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 Willow Park Medical Health PC's NPI number?
The NPI number for Willow Park Medical Health PC is 1063219475. It was assigned to this organization in the NPPES registry on February 25, 2025.
Where is Willow Park Medical Health PC located?
Willow Park Medical Health PC is located at 4 Farmwoods Ln, Glen Head, NY 11545. The listed phone number is (516) 507-7593.
What is Willow Park Medical Health PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Willow Park Medical Health PC enrolled in Medicare?
Yes. Willow Park Medical Health PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Willow Park Medical Health PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Willow Park Medical Health 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. The largest specialties are Nurse Practitioner (11), Hematology/Oncology (1) and Mental Health Counselor (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Willow Park Medical Health PC was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Willow Park Medical Health Pc · NPI 1063219475
Multi-Specialty organization in Glen Head, New York. Organization record, active in the CMS NPPES registry since February 25, 2025.
## Identity
- **NPI:** 1063219475 (Entity type: Organization)
- **Enumerated:** February 25, 2025
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Azmat Iqbal, PHYSICIAN
## Practice location
- **Address:** 4 FARMWOODS LN, Glen Head, NY 11545-2730
- **Phone:** (516) 507-7593
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 13 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (11), Hematology/Oncology (1), Mental Health Counselor (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 25, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1063219475) · Data from the CMS NPPES public registry.