1. Home
  2. Directory
  3. New York
  4. Brockport
  5. Internal Medicine
  6. NPI Profile

BROCKPORT INTERNAL MEDICINE, PC
NPI 1144434408
Internal Medicine in Brockport, NY

Active since May 09, 2007CLIA 33D0171600 · Waiver
34 WEST AVE, BROCKPORT, NY 14420(585) 637-2161(585) 637-5819 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Brockport Internal Medicine, Pc NPPES

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

BROCKPORT INTERNAL MEDICINE, PC (NPI 1144434408) is a healthcare organization registered as an internal medicine in Brockport, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 16, 2027 and lists Pankaj Garg, President, as its authorized official.

NPPES Registry Identity

NPI1144434408
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBROCKPORT INTERNAL MEDICINE, PC
Location Address34 WEST AVEBrockport, NY 14420-1304
Mailing Address34 West AveBrockport, NY 14420-1304 · Fax (585) 637-5819
Phone(585) 637-2161
Fax(585) 637-5819
Organization SubpartNo
Authorized OfficialPankaj GargPresident · (585) 637-2161
Enumeration DateMay 9, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1144434408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 199906
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.
34 WEST AVE, Brockport, NY 14420
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0171600

Brockport Internal Medicine PC · Brockport, NY
Active · expires Oct 16, 2027
CLIA Number33D0171600
Laboratory TypePhysician Office
Certificate Effective DateOctober 17, 2025
Certificate Expiration DateOctober 16, 2027
Laboratory DirectorDr. Pankaj K. Garg
Laboratory Phone(585) 637-2161
Laboratory LocationBrockport Internal Medicine PC34 West Avenue, Brockport, NY 14420
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

YOUR MEDICAL STORE,LLC
Durable Medical Equipment & Medical Supplies
34 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 391-1424
COMMUNITY URGENT CENTER,LLC
Clinic/Center (Urgent Care)
34 WEST AVE
BROCKPORT, NY 14420
Monroe County (585) 391-1424

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 Brockport Internal Medicine, PC's NPI number?

The NPI number for Brockport Internal Medicine, PC is 1144434408. It was assigned to this organization in the NPPES registry on May 9, 2007.

Where is Brockport Internal Medicine, PC located?

Brockport Internal Medicine, PC is located at 34 West Ave, Brockport, NY 14420. The listed phone number is (585) 637-2161.

What is Brockport Internal Medicine, PC's specialty?

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

Does Brockport Internal Medicine, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0171600) is associated with this NPI, valid through October 16, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brockport Internal Medicine, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.