WOODBINE MEDICAL PC
NPI 1225199789
Specialist in Ridgewood, NY
About Woodbine Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WOODBINE MEDICAL PC (NPI 1225199789) is a healthcare organization registered as a specialist in Ridgewood, New York and active in the NPI registry since December 2006. The organization lists David Carmili, Director Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
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)
Woodbine Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
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
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Woodbine Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 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.
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 Woodbine Medical PC's NPI number?
The NPI number for Woodbine Medical PC is 1225199789. It was assigned to this organization in the NPPES registry on December 12, 2006.
Where is Woodbine Medical PC located?
Woodbine Medical PC is located at 714 Seneca Ave, Ridgewood, NY 11385. The listed phone number is (718) 418-5320.
What is Woodbine Medical PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Woodbine Medical PC enrolled in Medicare?
Yes. Woodbine Medical PC is registered in the Medicare PECOS enrollment system.
When is Woodbine Medical PC'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 November 30, 2026. 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 Woodbine Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Woodbine Medical PC, in Pediatric Medicine, Physical Medicine and Rehabilitation and Physical Therapist in Private Practice. 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 at this address and 3 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 Woodbine Medical PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Woodbine Medical Pc · NPI 1225199789
Specialist organization in Ridgewood, New York. Organization record, active in the CMS NPPES registry since December 12, 2006.
## Identity
- **NPI:** 1225199789 (Entity type: Organization)
- **Enumerated:** December 12, 2006
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** David Carmili, DIRECTOR OFFICER
## Practice location
- **Address:** 714 SENECA AVE, Ridgewood, NY 11385-2895
- **Phone:** (718) 418-5320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Pediatric Medicine (1), Physical Medicine and Rehabilitation (1), Physical Therapist in Private Practice (1); 2 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 02632117 (NY)
---
Source: [NPI Profile](https://npiprofile.com/npi/1225199789) · Data from the CMS NPPES public registry.