PATRIOT MEDICAL NYC PC
NPI 1083454870
Internal Medicine - Geriatric Medicine in New City, NY

Active since May 29, 2024CLIA 33D2196030 · Waiver
286 S MAIN ST, NEW CITY, NY 10956(914) 236-4121 Get Directions Write a Review

NPPES record last updated: May 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Patriot Medical Nyc Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRIOT MEDICAL NYC PC (NPI 1083454870) is a healthcare organization registered as a geriatric medicine in New City, New York and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through October 13, 2026 and lists Samy Saker, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083454870
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NamePATRIOT MEDICAL NYC PC
Location Address286 S MAIN STNew City, NY 10956-3327
Mailing Address96 Linwood Plz # 142Fort Lee, NJ 07024-3701 · (914) 236-4121 · Fax (914) 709-4858
Organization SubpartNo
Authorized OfficialSamy SakerCeo · (914) 709-4858
Enumeration DateMay 29, 2024
Last NPPES UpdateMay 12, 2025
NPPES CertifiedMay 12, 2025
NPI 1083454870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition

An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.

286 S MAIN ST, New City, NY 10956

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 33D2196030

Patriot Medical · Carmel, NY
Active · expires Oct 13, 2026
CLIA Number33D2196030
Laboratory TypePhysician Office
Certificate Effective DateOctober 14, 2024
Certificate Expiration DateOctober 13, 2026
Laboratory DirectorDr. Arthur Holmberg
Laboratory Phone(914) 236-4121
Laboratory LocationPatriot Medical838 Fair St, Carmel, NY 10512
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Hospice and Palliative Medicine)
286 S MAIN ST
NEW CITY, NY 10956
Clinic/Center (Medical Specialty)
286 S MAIN ST
NEW CITY, NY 10956
Clinic/Center
286 S MAIN ST
NEW CITY, NY 10956
Internal Medicine
286 S MAIN ST
NEW CITY, NY 10956
Physical Medicine & Rehabilitation
286 S MAIN ST
NEW CITY, NY 10956
Massage Therapist
286 S MAIN ST
NEW CITY, NY 10956
Internal Medicine
286 S MAIN ST
NEW CITY, NY 10956

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 Patriot Medical Nyc PC's NPI number?

The NPI number for Patriot Medical Nyc PC is 1083454870. It was assigned to this organization in the NPPES registry on May 29, 2024.

Where is Patriot Medical Nyc PC located?

Patriot Medical Nyc PC is located at 286 S Main St, New City, NY 10956. The listed phone number is (914) 236-4121.

What is Patriot Medical Nyc PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Does Patriot Medical Nyc PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2196030) is associated with this NPI, valid through October 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Patriot Medical Nyc PC was last updated on May 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.