WYCKOFF PROFESSIONAL MEDICAL SERVICES PC
NPI 1205201837
Clinic/Center in Brooklyn, NY

Active since December 08, 2015
1419 MYRTLE AVE, WYCKOFF DOCTORS, BROOKLYN, NY 11237(718) 783-0934(718) 857-0162 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 15, 2025, Jun 14, 2016, Dec 8, 2015 (3 updates tracked since 2015).

About Wyckoff Professional Medical Services Pc NPPES

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

WYCKOFF PROFESSIONAL MEDICAL SERVICES PC (NPI 1205201837) is a healthcare organization registered as a clinic/center in Brooklyn, New York and active in the NPI registry since December 2015. The organization lists Vali Gache, Ceo, as its authorized official.

NPPES Registry Identity

NPI1205201837
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameWYCKOFF PROFESSIONAL MEDICAL SERVICES PC
Location Address1419 MYRTLE AVE, WYCKOFF DOCTORSBrooklyn, NY 11237-4512
Mailing Address374 Stockholm Street, Wyckoff Heights Medical Center - Faculty PracticeBrooklyn, NY 11237 · (718) 963-7272
Fax(718) 857-0162
Organization SubpartYes
Authorized OfficialVali GacheCeo · (718) 240-1791
Enumeration DateDecember 8, 2015
Last NPPES UpdateDecember 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
NPI 1205201837 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1419 MYRTLE AVE, Brooklyn, NY 11237

Other Identifiers 1

Medicaid03722025NY

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
1419 MYRTLE AVE
BROOKLYN, NY 11237
Nurse Practitioner (Family)
1419 MYRTLE AVE
BROOKLYN, NY 11237
Nurse Practitioner (Family)
1419 MYRTLE AVE
BROOKLYN, NY 11237
Family Medicine
1419 MYRTLE AVE
BROOKLYN, NY 11237
Clinic/Center
1419 MYRTLE AVE, WYCKOFF DOCTORS
BROOKLYN, NY 11237

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 Wyckoff Professional Medical Services PC's NPI number?

The NPI number for Wyckoff Professional Medical Services PC is 1205201837. It was assigned to this organization in the NPPES registry on December 8, 2015.

Where is Wyckoff Professional Medical Services PC located?

Wyckoff Professional Medical Services PC is located at 1419 Myrtle Ave Wyckoff Doctors, Brooklyn, NY 11237. The listed phone number is (718) 783-0934.

What is Wyckoff Professional Medical Services PC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Wyckoff Professional Medical Services PC was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.