FORT WASHINGTON MEDICAL OFFICE PC
NPI 1205870078
Internal Medicine in New York, NY

Active since June 15, 2006CLIA 33D1039926 · Waiver
65 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 927-0013(212) 927-0014 Get Directions Write a Review

NPPES record last updated: June 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 13, 2023, May 17, 2023 (2 updates tracked since 2023).

About Fort Washington Medical Office Pc NPPES

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

FORT WASHINGTON MEDICAL OFFICE PC (NPI 1205870078) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through January 2, 2028 and lists Fausto A Gonzalez, Partner/owner, as its authorized official.

NPPES Registry Identity

NPI1205870078
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFORT WASHINGTON MEDICAL OFFICE PC
Location Address65 FORT WASHINGTON AVENew York, NY 10032-4634
Mailing Address65 Fort Washington AveNew York, NY 10032-4634 · (212) 927-0013 · Fax (212) 927-0014
Fax(212) 927-0014
Organization SubpartNo
Authorized OfficialFausto A GonzalezPartner/owner · (212) 927-0013
Enumeration DateJune 15, 2006
Last NPPES UpdateJune 13, 20232 updates tracked since enumeration
NPPES CertifiedJune 13, 2023
NPI 1205870078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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.

65 FORT WASHINGTON AVE, New York, NY 10032

Other Identifiers 1

Medicaid03288346NY

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

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 33D1039926

Fort Washington Medical Office · New York, NY
Active · expires Jan 2, 2028
CLIA Number33D1039926
Laboratory TypePhysician Office
Certificate Effective DateJanuary 3, 2026
Certificate Expiration DateJanuary 2, 2028
Laboratory DirectorDr. Fausto A. Gonzalez
Laboratory Phone(212) 927-0013
Laboratory LocationFort Washington Medical Office65 Fort Washington Avenue, Apt 1A, New York, NY 10032
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Pediatrics
65 FORT WASHINGTON AVE, SUITE 1B
NEW YORK, NY 10032
Physical Therapist
65 FORT WASHINGTON AVE
NEW YORK, NY 10032
Clinic/Center (Physical Therapy)
65 FORT WASHINGTON AVE
NEW YORK, NY 10032

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 Fort Washington Medical Office PC's NPI number?

The NPI number for Fort Washington Medical Office PC is 1205870078. It was assigned to this organization in the NPPES registry on June 15, 2006.

Where is Fort Washington Medical Office PC located?

Fort Washington Medical Office PC is located at 65 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 927-0013.

What is Fort Washington Medical Office PC's specialty?

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

Does Fort Washington Medical Office PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1039926) is associated with this NPI, valid through January 2, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Fort Washington Medical Office PC was last updated on June 13, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.