TOTTENVILLE MEDICAL PAVILION, PLLC
NPI 1164594925
Internal Medicine in Staten Island, NY

Active since November 15, 2006
7098 AMBOY ROAD, STATEN ISLAND, NY 10307(718) 356-5600 Get Directions Write a Review

NPPES record last updated: March 31, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tottenville Medical Pavilion, Pllc NPPES

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

TOTTENVILLE MEDICAL PAVILION, PLLC (NPI 1164594925) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since November 2006. The organization lists Bari F Ceka, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1164594925
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameTOTTENVILLE MEDICAL PAVILION, PLLC
Location Address7098 AMBOY ROADStaten Island, NY 10307
Mailing Address7098 Amboy RoadStaten Island, NY 10307 · (718) 356-5600
Organization SubpartNo
Authorized OfficialBari F CekaMedical Director · (718) 356-5600
Enumeration DateNovember 15, 2006
Last NPPES UpdateMarch 31, 2014
✔ NPI 1164594925 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 · 234924
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.
7098 AMBOY ROAD, Staten Island, NY 10307

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tottenville Medical Pavilion, Pllc 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 Tottenville Medical Pavilion, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1003992074
7098 AMBOY ROAD
Staten Island, NY 10307
(718) 356-5600
✔ PECOS✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1104814896
2 HAYWARD ST
Attleboro, MA 02703
(508) 431-3600
✔ PECOS✔ Accepts Medicare183 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 Tottenville Medical Pavilion, PLLC's NPI number?

The NPI number for Tottenville Medical Pavilion, PLLC is 1164594925. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is Tottenville Medical Pavilion, PLLC located?

Tottenville Medical Pavilion, PLLC is located at 7098 Amboy Road, Staten Island, NY 10307. The listed phone number is (718) 356-5600.

What is Tottenville Medical Pavilion, PLLC's specialty?

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

Is Tottenville Medical Pavilion, PLLC enrolled in Medicare?

Yes. Tottenville Medical Pavilion, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tottenville Medical Pavilion, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Tottenville Medical Pavilion, PLLC, in Cardiovascular Disease (Cardiology) and Internal Medicine. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tottenville Medical Pavilion, PLLC was last updated on March 31, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.