FORT WASHINGTON MEDICAL OFFICE PC
NPI 1205870078
Internal Medicine in New York, NY
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
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Fort Washington Medical Office Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Fort Washington Medical Office PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 33D1039926
Fort Washington Medical Office · New York, 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 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.
Is Fort Washington Medical Office PC enrolled in Medicare?
Yes. Fort Washington Medical Office PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fort Washington Medical Office PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Fort Washington Medical Office PC, in Diagnostic Radiology, Internal Medicine and Podiatry. 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.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Fort Washington Medical Office Pc · NPI 1205870078
Internal Medicine organization in New York, New York. Organization record, active in the CMS NPPES registry since June 15, 2006.
## Identity
- **NPI:** 1205870078 (Entity type: Organization)
- **Enumerated:** June 15, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Fausto Gonzalez, PARTNER/OWNER
## Practice location
- **Address:** 65 FORT WASHINGTON AVE, New York, NY 10032-4634
- **Phone:** (212) 927-0013 · **Fax:** (212) 927-0014
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (1), Internal Medicine (1), Podiatry (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 13, 2023
- **Other identifiers:** Medicaid 03288346 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205870078) · Data from the CMS NPPES public registry.