KINGSBROOK MEDICAL ASSOCIATES, PC
NPI 1104112838
Clinic/Center - Multi-Specialty in Brooklyn, NY

Active since June 21, 2011
585 SCHENECTADY AVE, BROOKLYN, NY 11203(718) 604-5532 Get Directions Write a Review

NPPES record last updated: January 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kingsbrook Medical Associates, Pc NPPES

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

KINGSBROOK MEDICAL ASSOCIATES, PC (NPI 1104112838) is a healthcare organization registered as a multi-specialty in Brooklyn, New York and active in the NPI registry since June 2011. The organization lists John Schmitt, Svpf, as its authorized official.

NPPES Registry Identity

NPI1104112838
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameKINGSBROOK MEDICAL ASSOCIATES, PC
Location Address585 SCHENECTADY AVEBrooklyn, NY 11203-1851
Mailing Address585 Schenectady AveBrooklyn, NY 11203-1851 · (718) 604-5000
Organization SubpartNo
Authorized OfficialJohn SchmittSvpf · (718) 604-5000
Enumeration DateJune 21, 2011
Last NPPES UpdateJanuary 23, 2017
✔ NPI 1104112838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
License✔ Licensed in NY · 7001033H
585 SCHENECTADY AVE, Brooklyn, NY 11203

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kingsbrook Medical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111123000332Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

192

Medicare enrollment records show 192 clinicians reassign Medicare billing to Kingsbrook Medical Associates, PC, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 141 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 33

Emergency Medicine44
Internal Medicine30
Nurse Practitioner18
Psychiatry14
General Surgery9
Ophthalmology9
Podiatry8
Neurology6
25 other specialties54

Nearest to this location (20)

See all 192
Psychiatry
NPI 1821056201
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5281
✔ PECOSSame address
Emergency Medicine
NPI 1801188081
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5000
✔ PECOS✔ Accepts MedicareSame address
Clinical Psychologist
NPI 1598998411
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5928
✔ PECOSSame address
Psychiatry
NPI 1871587089
585 SCHENECTADY AVE ROOM 340
Brooklyn, NY 11203
(718) 363-6547
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1821055682
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 363-6541
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1184666109
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5281
✔ PECOSSame address
Nurse Practitioner
NPI 1760535355
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5397
✔ PECOSSame address
Ophthalmology
NPI 1992757231
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5469
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1417976408
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5789
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1043222060
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5281
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1649229188
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5401
✔ PECOSSame address
Internal Medicine
NPI 1104120690
585 SCHENECTADY AVE SUITE 101
Brooklyn, NY 11203
(718) 604-5000
✔ PECOSSame address
Physical Medicine and Rehabilitation
NPI 1568719888
585 SCHENECTADY AVE
Brooklyn, NY 11203
(703) 298-6214
✔ PECOSSame address
Internal Medicine
NPI 1285298810
585 SCHENECTADY AVE STE K4
Brooklyn, NY 11203
(718) 363-6771
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1194477976
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5000
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1619268869
585 SCHENECTADY AVENUE LEVITON BLDG, ROOM 406
Brooklyn, NY 11203
(212) 518-3760
✔ PECOSSame address
Internal Medicine
NPI 1255357034
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 806-1609
✔ PECOS✔ Accepts MedicareSame address
Psychiatry
NPI 1114172467
585 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 604-5281
✔ PECOSSame address
Hematology
NPI 1215991070
566 SCHENECTADY AVE
Brooklyn, NY 11203
(718) 483-8360
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1760894125
585 SCHENECTADY AVE ATTENTION: ORTHOPEDIC DEPT KATZ 6TH FLOOR
Brooklyn, NY 11203
(718) 604-5483
✔ PECOS✔ Accepts Medicare0.1 mi
See all 192 clinicians

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 Kingsbrook Medical Associates, PC's NPI number?

The NPI number for Kingsbrook Medical Associates, PC is 1104112838. It was assigned to this organization in the NPPES registry on June 21, 2011.

Where is Kingsbrook Medical Associates, PC located?

Kingsbrook Medical Associates, PC is located at 585 Schenectady Ave, Brooklyn, NY 11203. The listed phone number is (718) 604-5532.

What is Kingsbrook Medical Associates, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Is Kingsbrook Medical Associates, PC enrolled in Medicare?

Yes. Kingsbrook Medical Associates, PC is registered in the Medicare PECOS enrollment system.

When is Kingsbrook Medical Associates, PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Kingsbrook Medical Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 192 clinicians in 33 Medicare specialties reassign their Medicare billing to Kingsbrook Medical Associates, 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 Emergency Medicine (44), Internal Medicine (30) and Nurse Practitioner (18). Of these, 19 practice at this address and 141 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 Kingsbrook Medical Associates, PC was last updated on January 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.