MADISON PHYSICIAN PRACTICE PC
NPI 1194206441
Family Medicine - Adult Medicine in New York, NY

Active since August 24, 2018
983 PARK AVE # 1D, NEW YORK, NY 10028(212) 427-8761(212) 427-8762 Get Directions Write a Review

NPPES record last updated: August 24, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Madison Physician Practice Pc NPPES

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

MADISON PHYSICIAN PRACTICE PC (NPI 1194206441) is a healthcare organization registered as an adult medicine in New York, New York and active in the NPI registry since August 2018. The organization lists Angela Laza, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1194206441
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameMADISON PHYSICIAN PRACTICE PC
Location Address983 PARK AVE # 1DNew York, NY 10028-0808
Mailing Address983 Park Ave Ste 1dNew York, NY 10028-0808 · (212) 427-8761
Fax(212) 427-8762
Organization SubpartNo
Authorized OfficialAngela LazaBilling Manager · (646) 351-0911
Enumeration DateAugust 24, 2018
✔ NPI 1194206441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
983 PARK AVE # 1D, New York, NY 10028

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Madison Physician Practice Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Madison Physician Practice PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Anesthesiology
NPI 1891870366
118 EAST NINETY THIRD STREET
New York, NY 10128
(732) 264-1127
✔ PECOS0.4 mi
Anesthesiology
NPI 1386842540
55W 17TH STREET SUITE 102
New York, NY 10011
(212) 378-9983
✔ PECOS✔ Accepts Medicare3.3 mi
Anesthesiology
NPI 1639175318
300 COMMUNITY DR
Manhasset, NY 11030
(516) 562-4887
✔ PECOS13 mi
Anesthesiology
NPI 1932604121
55 FRUIT ST GRB 444
Boston, MA 02114
(617) 726-3030
✔ PECOS185 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 Madison Physician Practice PC's NPI number?

The NPI number for Madison Physician Practice PC is 1194206441. It was assigned to this organization in the NPPES registry on August 24, 2018.

Where is Madison Physician Practice PC located?

Madison Physician Practice PC is located at 983 Park Ave # 1D, New York, NY 10028. The listed phone number is (212) 427-8761.

What is Madison Physician Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Madison Physician Practice PC enrolled in Medicare?

Yes. Madison Physician Practice PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Madison Physician Practice PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Anesthesiology, reassign their Medicare billing to Madison Physician 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Madison Physician Practice PC was last updated on August 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.