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VILLAGE TRAVEL MEDICINE
NPI 1104182880
Clinic/Center - Primary Care in New York, NY

Active since April 06, 2012
30 5TH AVE, 1E, NEW YORK, NY 10011(212) 477-1750 Get Directions Write a Review

NPPES record last updated: April 6, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Village Travel Medicine NPPES

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

VILLAGE TRAVEL MEDICINE (NPI 1104182880) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since April 2012. The organization lists Jerry Clements, President, as its authorized official.

NPPES Registry Identity

NPI1104182880
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameVILLAGE FAMILY PRACTICE
Location Address30 5TH AVE, 1ENew York, NY 10011-8859
Mailing Address30 5th Ave, 1eNew York, NY 10011-8859 · (212) 477-1750
Phone(212) 477-1750
Organization SubpartNo
Authorized OfficialJerry ClementsPresident · (212) 477-1750
Enumeration DateApril 6, 2012
✔ NPI 1104182880 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 166998
30 5TH AVE, New York, NY 10011
Open in Google Maps ↗

Other Names 1

Doing Business AsVillage Travel Medicine

Other Providers at the Same Location NPPES 13

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

DR. MICHAEL FREDRICK LEIFERT D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, SUITE 1J.K.
NEW YORK, NY 10011
New York County (212) 533-7880
ELI KRAIEM
Psychologist
30 5TH AVE
NEW YORK, NY 10011
New York County (917) 727-1015
DR. RONNIETTE CRISTINA GARCIA
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, APT 1K
NEW YORK, NY 10011
New York County (212) 533-7880
JUDITH LAMBEK PSYD
Psychologist (Clinical)
30 5TH AVE
NEW YORK, NY 10011
New York County (917) 727-1015
DR. ERIC M WAHL M.D.
Specialist
30 5TH AVE, 1E
NEW YORK, NY 10011
New York County (212) 674-8777
JERRY EUGENE CLEMENTS MD
Family Medicine
30 5TH AVE, 1E
NEW YORK, NY 10011
New York County (212) 477-1750
DR. MELVYN MARTIN LEIFERT D.D.S.
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, SUITE 1J.K.
NEW YORK, NY 10011
New York County (212) 533-7880
JEFFREY A NAIDITCH MD
Internal Medicine
30 5TH AVE, SUITE1B
NEW YORK, NY 10011
New York County (212) 228-5548

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 Village Family Practice's NPI number?

The NPI number for Village Family Practice is 1104182880. It was assigned to this organization in the NPPES registry on April 6, 2012. The provider is doing business as Village Travel Medicine.

Where is Village Family Practice located?

Village Family Practice is located at 30 5th Ave 1E, New York, NY 10011. The listed phone number is (212) 477-1750.

What is Village Family Practice's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Village Family Practice was last updated on April 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.