COMPREHENSIVE MEDICAL CARE AT 3RD AVENUE PC
NPI 1104274901
Internal Medicine in Brooklyn, NY

Active since June 02, 2016
4620 3RD AVE, FIRST FLOOR, BROOKLYN, NY 11220(718) 492-4109(201) 221-8255 Get Directions Write a Review

NPPES record last updated: June 2, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Comprehensive Medical Care At 3rd Avenue Pc NPPES

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

COMPREHENSIVE MEDICAL CARE AT 3RD AVENUE PC (NPI 1104274901) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since June 2016. The organization lists Nelson Radhames Pichardo, President, as its authorized official.

NPPES Registry Identity

NPI1104274901
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCOMPREHENSIVE MEDICAL CARE AT 3RD AVENUE PC
Location Address4620 3RD AVE, FIRST FLOORBrooklyn, NY 11220-1034
Mailing Address4620 3rd Ave, First FloorBrooklyn, NY 11220-1034 · (718) 492-4109 · Fax (201) 221-8255
Fax(201) 221-8255
Organization SubpartNo
Authorized OfficialNelson Radhames PichardoPresident · (718) 492-4109
Enumeration DateJune 2, 2016
✔ NPI 1104274901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 213773-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedAllergy & ImmunologyTaxonomy 207K00000X · License 213773-1 (NY)
4620 3RD AVE, Brooklyn, NY 11220

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Comprehensive Medical Care At 3rd Avenue Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Comprehensive Medical Care At 3rd Avenue PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1720110547
80 PASSAIC AVE SUITE 1
Passaic, NJ 07055
(973) 928-2167
✔ PECOS16 mi
Internal Medicine
NPI 1316911282
583 BROADWAY
Paterson, NJ 07514
(973) 653-5686
✔ PECOS20 mi

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 Comprehensive Medical Care At 3rd Avenue PC's NPI number?

The NPI number for Comprehensive Medical Care At 3rd Avenue PC is 1104274901. It was assigned to this organization in the NPPES registry on June 2, 2016.

Where is Comprehensive Medical Care At 3rd Avenue PC located?

Comprehensive Medical Care At 3rd Avenue PC is located at 4620 3rd Ave First Floor, Brooklyn, NY 11220. The listed phone number is (718) 492-4109.

What is Comprehensive Medical Care At 3rd Avenue PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Comprehensive Medical Care At 3rd Avenue PC enrolled in Medicare?

Yes. Comprehensive Medical Care At 3rd Avenue PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Comprehensive Medical Care At 3rd Avenue PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Comprehensive Medical Care At 3rd Avenue 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Comprehensive Medical Care At 3rd Avenue PC was last updated on June 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.