NORTH BROADWAY MEDICAL FAMILY PRACTICE PC
NPI 1134009384
Clinic/Center - Primary Care in Yonkers, NY
About North Broadway Medical Family Practice Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NORTH BROADWAY MEDICAL FAMILY PRACTICE PC (NPI 1134009384) is a healthcare organization registered as a primary care in Yonkers, New York and active in the NPI registry since September 2025. The organization lists Noor Ibraheem, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
North Broadway Medical Family Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to North Broadway Medical Family Practice PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 North Broadway Medical Family Practice PC's NPI number?
The NPI number for North Broadway Medical Family Practice PC is 1134009384. It was assigned to this organization in the NPPES registry on September 6, 2025.
Where is North Broadway Medical Family Practice PC located?
North Broadway Medical Family Practice PC is located at 469 N Broadway Dr. Noor Ibraheem, Yonkers, NY 10701. The listed phone number is (914) 359-8750.
What is North Broadway Medical Family Practice PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is North Broadway Medical Family Practice PC enrolled in Medicare?
Yes. North Broadway Medical Family Practice PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through North Broadway Medical Family Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to North Broadway Medical Family Practice 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 North Broadway Medical Family Practice PC was last updated on September 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.
# North Broadway Medical Family Practice Pc · NPI 1134009384
Primary Care organization in Yonkers, New York. Organization record, active in the CMS NPPES registry since September 6, 2025.
## Identity
- **NPI:** 1134009384 (Entity type: Organization)
- **Enumerated:** September 6, 2025
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Noor Ibraheem, PHYSICIAN OWNER
## Practice location
- **Address:** 469 N BROADWAY, DR. NOOR IBRAHEEM, Yonkers, NY 10701-1960
- **Phone:** (914) 359-8750
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 6, 2025
- **Other identifiers:** Other 338031 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1134009384) · Data from the CMS NPPES public registry.