METHUSELAH MEDICAL SERVICES PLLC
NPI 1205167384
Clinic/Center - Primary Care in New Rochelle, NY
About Methuselah Medical Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
METHUSELAH MEDICAL SERVICES PLLC (NPI 1205167384) is a healthcare organization registered as a primary care in New Rochelle, New York and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through November 17, 2026 and lists Ralph Essien, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Methuselah Medical Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Methuselah Medical Services PLLC, 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.
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 33D0954125
Methuselah Medical Services · New Rochelle, NYFrequently 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 Methuselah Medical Services PLLC's NPI number?
The NPI number for Methuselah Medical Services PLLC is 1205167384. It was assigned to this organization in the NPPES registry on January 29, 2010.
Where is Methuselah Medical Services PLLC located?
Methuselah Medical Services PLLC is located at 25 Coligni Ave, New Rochelle, NY 10801. The listed phone number is (914) 636-1967.
What is Methuselah Medical Services PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Methuselah Medical Services PLLC enrolled in Medicare?
Yes. Methuselah Medical Services PLLC is registered in the Medicare PECOS enrollment system.
When is Methuselah Medical Services PLLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Methuselah Medical Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Methuselah Medical Services PLLC. 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.
Does Methuselah Medical Services PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0954125) is associated with this NPI, valid through November 17, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Methuselah Medical Services PLLC was last updated on January 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Methuselah Medical Services Pllc · NPI 1205167384
Primary Care organization in New Rochelle, New York. Organization record, active in the CMS NPPES registry since January 29, 2010.
## Identity
- **NPI:** 1205167384 (Entity type: Organization)
- **Enumerated:** January 29, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Ralph Essien, PRESIDENT
## Practice location
- **Address:** 25 COLIGNI AVE, New Rochelle, NY 10801-2605
- **Phone:** (914) 636-1967 · **Fax:** (914) 636-6083
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 29, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205167384) · Data from the CMS NPPES public registry.