FARMINGDALE PRIMARY CARE PC
NPI 1073820965
Family Medicine in Farmingdale, NY
About Farmingdale Primary Care Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FARMINGDALE PRIMARY CARE PC (NPI 1073820965) is a healthcare organization registered as a family medicine in Farmingdale, New York and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through October 7, 2028 and lists Ronan Monsef, Medical Director, 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)
Farmingdale Primary Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Farmingdale Primary Care PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 33D2014415
Farmingdale Primary Care PC · Massapequa, 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 Farmingdale Primary Care PC's NPI number?
The NPI number for Farmingdale Primary Care PC is 1073820965. It was assigned to this organization in the NPPES registry on September 13, 2010.
Where is Farmingdale Primary Care PC located?
Farmingdale Primary Care PC is located at 202 Fallwood Pkwy, Farmingdale, NY 11735. The listed phone number is (516) 249-1999.
What is Farmingdale Primary Care PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Farmingdale Primary Care PC enrolled in Medicare?
Yes. Farmingdale Primary Care PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Farmingdale Primary Care PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Farmingdale Primary Care PC, in Cardiovascular Disease (Cardiology) and Family Practice. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Farmingdale Primary Care PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2014415) is associated with this NPI, valid through October 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Farmingdale Primary Care PC was last updated on September 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Farmingdale Primary Care Pc · NPI 1073820965
Family Medicine organization in Farmingdale, New York. Organization record, active in the CMS NPPES registry since September 13, 2010.
## Identity
- **NPI:** 1073820965 (Entity type: Organization)
- **Enumerated:** September 13, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Ronan Monsef, MEDICAL DIRECTOR
## Practice location
- **Address:** 202 FALLWOOD PKWY, Farmingdale, NY 11735-4929
- **Phone:** (516) 249-1999 · **Fax:** (516) 249-1911
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (1), Family Practice (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 13, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073820965) · Data from the CMS NPPES public registry.