PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC
NPI 1063926962
Surgery - Vascular Surgery in Bronx, NY
About Pelham Pkwy Professional Medical Services Of New York Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PELHAM PKWY PROFESSIONAL MEDICAL SERVICES OF NEW YORK LLC (NPI 1063926962) is a healthcare organization registered as a vascular surgery in Bronx, New York and active in the NPI registry since November 2017. The organization holds a CLIA Certificate of Compliance certificate valid through February 5, 2027 and lists Ami Almeda, Credentialing Manager, 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)
Pelham Pkwy Professional Medical Services Of New York Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
32Medicare enrollment records show 32 clinicians reassign Medicare billing to Pelham Pkwy Professional Medical Services Of New York LLC, which bills Medicare for the services they deliver. Of these, 11 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 10
Nearest to this location (20)
See all 32Source: 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 Compliance 33D2157760
Pelham Pkwy Professional Medical Services Of New York LLC · Bronx, 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 Pelham Pkwy Professional Medical Services Of New York LLC's NPI number?
The NPI number for Pelham Pkwy Professional Medical Services Of New York LLC is 1063926962. It was assigned to this organization in the NPPES registry on November 30, 2017.
Where is Pelham Pkwy Professional Medical Services Of New York LLC located?
Pelham Pkwy Professional Medical Services Of New York LLC is located at 2157 White Plains Rd Ste A, Bronx, NY 10462. The listed phone number is (718) 301-1100.
What is Pelham Pkwy Professional Medical Services Of New York LLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Pelham Pkwy Professional Medical Services Of New York LLC enrolled in Medicare?
Yes. Pelham Pkwy Professional Medical Services Of New York LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pelham Pkwy Professional Medical Services Of New York LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 32 clinicians in 10 Medicare specialties reassign their Medicare billing to Pelham Pkwy Professional Medical Services Of New York LLC. 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 General Surgery (7), Interventional Radiology (7) and Diagnostic Radiology (5). Of these, 11 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Pelham Pkwy Professional Medical Services Of New York LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D2157760) is associated with this NPI, valid through February 5, 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 Pelham Pkwy Professional Medical Services Of New York LLC was last updated on June 4, 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.
# Pelham Pkwy Professional Medical Services Of New York Llc · NPI 1063926962
Vascular Surgery organization in Bronx, New York. Organization record, active in the CMS NPPES registry since November 30, 2017.
## Identity
- **NPI:** 1063926962 (Entity type: Organization)
- **Enumerated:** November 30, 2017
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Ami Almeda, CREDENTIALING MANAGER
## Practice location
- **Address:** 2157 WHITE PLAINS RD STE A, Bronx, NY 10462
- **Phone:** (718) 301-1100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 32 clinicians in 10 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: General Surgery (7), Interventional Radiology (7), Diagnostic Radiology (5); 11 practice within 10 miles; [full list](https://npiprofile.com/npi/1063926962/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 4, 2020
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063926962) · Data from the CMS NPPES public registry.