1. Home
  2. Directory
  3. New York
  4. New York New York
  5. Specialist
  6. NPI Profile
Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

CEREGENESIS MEDICAL CORPORATION
NPI 1104723550
Specialist in New York, NY

Active since October 20, 2026
272 W 107TH ST APT 14C, NEW YORK, NY 10025(312) 912-2408 Get Directions Write a Review

NPPES record added: October 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ceregenesis Medical Corporation NPPES

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

CEREGENESIS MEDICAL CORPORATION (NPI 1104723550) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since October 2026. The organization lists Amir Mansour, Administrative Agent, as its authorized official.

NPPES Registry Identity

NPI1104723550
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCEREGENESIS MEDICAL CORPORATION
Location Address272 W 107TH ST APT 14CNew York, NY 10025-7834
Mailing Address272 W 107th St Apt 14cNew York, NY 10025-7834
Phone(312) 912-2408
Organization SubpartNo
Authorized OfficialAmir MansourAdministrative Agent · (312) 912-2408
Enumeration DateOctober 20, 2026
NPPES CertifiedOctober 20, 2026
✔ NPI 1104723550 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
272 W 107TH ST APT 14C, New York, NY 10025
Open in Google Maps ↗

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 Ceregenesis Medical Corporation's NPI number?

The NPI number for Ceregenesis Medical Corporation is 1104723550. It was assigned to this organization in the NPPES registry on October 20, 2026.

Where is Ceregenesis Medical Corporation located?

Ceregenesis Medical Corporation is located at 272 W 107th St Apt 14C, New York, NY 10025. The listed phone number is (312) 912-2408.

What is Ceregenesis Medical Corporation's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Ceregenesis Medical Corporation was last updated on October 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.