PROXI MEDICAL PC
NPI 1184000853
Clinic/Center - Urgent Care in Brooklyn, NY

Active since August 05, 2015CLIA 33D2098526 · Waiver
1665 BEDFORD AVE, BROOKLYN, NY 11225(718) 756-4000(718) 756-4003 Get Directions Write a Review

NPPES record last updated: October 12, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Proxi Medical Pc NPPES

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

PROXI MEDICAL PC (NPI 1184000853) is a healthcare organization registered as an urgent care in Brooklyn, New York and active in the NPI registry since August 2015. The organization holds a CLIA Waiver certificate valid through July 8, 2027 and lists Anna Grinko, Authorized Rep/owner, as its authorized official.

NPPES Registry Identity

NPI1184000853
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NamePROXI MEDICAL PC
Location Address1665 BEDFORD AVEBrooklyn, NY 11225-2023
Mailing Address1665 Bedford AveBrooklyn, NY 11225-2023 · (718) 756-4000 · Fax (718) 756-4003
Fax(718) 756-4003
Organization SubpartNo
Authorized OfficialAnna GrinkoAuthorized Rep/owner · (718) 756-4000
Enumeration DateAugust 5, 2015
Last NPPES UpdateOctober 12, 2015
✔ NPI 1184000853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
1665 BEDFORD AVE, Brooklyn, NY 11225

Other Identifiers 2

Medicare PINA100129165NY
Medicaid04193495NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Proxi Medical 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 Proxi Medical PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Pulmonary Disease
NPI 1275505430
1665 BEDFORD AVE
Brooklyn, NY 11225
(718) 756-4000
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1033459912
4500 WASHINGTON AVE STE 100
Houston, TX 77007
(713) 730-7416
✔ PECOS✔ Accepts Medicare1,421 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2098526

Proxi Medical, PC · Brooklyn, NY
Active · expires Jul 8, 2027
CLIA Number33D2098526
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2025
Certificate Expiration DateJuly 8, 2027
Laboratory DirectorDr. Anna Grinko
Laboratory Phone(716) 756-4000
Laboratory LocationProxi Medical, PC1665 Bedford Avenue, Brooklyn, NY 11225
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Proxi Medical PC's NPI number?

The NPI number for Proxi Medical PC is 1184000853. It was assigned to this organization in the NPPES registry on August 5, 2015.

Where is Proxi Medical PC located?

Proxi Medical PC is located at 1665 Bedford Ave, Brooklyn, NY 11225. The listed phone number is (718) 756-4000.

What is Proxi Medical PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Proxi Medical PC enrolled in Medicare?

Yes. Proxi Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Proxi Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Proxi Medical PC, in Nurse Practitioner and Pulmonary Disease. 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.

Does Proxi Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2098526) is associated with this NPI, valid through July 8, 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 Proxi Medical PC was last updated on October 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.