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NEW YORK PRIMARY CARE MEDICINE PC
NPI 1093815771
Family Medicine in New York, NY

Active since September 23, 2006CLIA 33D1059936 · Waiver
639 W 185TH ST, NEW YORK, NY 10033(212) 568-6156(212) 927-5719 Get Directions Write a Review

NPPES record last updated: September 10, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About New York Primary Care Medicine Pc NPPES

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

NEW YORK PRIMARY CARE MEDICINE PC (NPI 1093815771) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 10, 2026 and lists Juan F Chabla, President, as its authorized official.

NPPES Registry Identity

NPI1093815771
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW YORK PRIMARY CARE MEDICINE PC
Location Address639 W 185TH STNew York, NY 10033-3102
Mailing Address639 W 185th StNew York, NY 10033-3102 · (212) 568-6156 · Fax (212) 927-5719
Phone(212) 568-6156
Fax(212) 927-5719
Organization SubpartNo
Authorized OfficialJuan F ChablaPresident · (212) 568-6156
Enumeration DateSeptember 23, 2006
Last NPPES UpdateSeptember 10, 2008
✔ NPI 1093815771 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
639 W 185TH ST, New York, NY 10033
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 33D1059936

New York Primary Care Medicine PC · New York, NY
Active · expires Oct 10, 2026
CLIA Number33D1059936
Laboratory TypePhysician Office
Certificate Effective DateOctober 11, 2024
Certificate Expiration DateOctober 10, 2026
Laboratory DirectorJuan Chabla
Laboratory Phone(212) 568-6156
Laboratory LocationNew York Primary Care Medicine PC639 West 185th Street, New York, NY 10033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 New York Primary Care Medicine PC's NPI number?

The NPI number for New York Primary Care Medicine PC is 1093815771. It was assigned to this organization in the NPPES registry on September 23, 2006.

Where is New York Primary Care Medicine PC located?

New York Primary Care Medicine PC is located at 639 W 185th St, New York, NY 10033. The listed phone number is (212) 568-6156.

What is New York Primary Care Medicine PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does New York Primary Care Medicine PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1059936) is associated with this NPI, valid through October 10, 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 New York Primary Care Medicine PC was last updated on September 10, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.