AVENUE U MEDICAL CARE PC
NPI 1225440068
Internal Medicine in Brooklyn, NY

Active since May 28, 2014CLIA 33D1010871 · Waiver
2153 E 3RD ST, BROOKLYN, NY 11223(718) 339-4607 Get Directions Write a Review

NPPES record last updated: September 10, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Avenue U Medical Care Pc NPPES

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

AVENUE U MEDICAL CARE PC (NPI 1225440068) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through May 8, 2028 and lists Victor Fariwa, Provider, as its authorized official.

NPPES Registry Identity

NPI1225440068
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAVENUE U MEDICAL CARE PC
Location Address2153 E 3RD STBrooklyn, NY 11223-4030
Mailing Address2153 E 3rd StBrooklyn, NY 11223-4030 · (718) 339-4607
Organization SubpartNo
Authorized OfficialVictor FariwaProvider · (718) 934-9720
Enumeration DateMay 28, 2014
Last NPPES UpdateSeptember 10, 2014
✔ NPI 1225440068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
2153 E 3RD ST, Brooklyn, NY 11223

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Avenue U Medical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20141009000679Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Avenue U Medical Care PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1023028354
2153 E 3RD ST
Brooklyn, NY 11223
(718) 339-4607
✔ PECOS✔ Accepts MedicareSame address

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 33D1010871

Avenue U Medical Care PC · Brooklyn, NY
Active · expires May 8, 2028
CLIA Number33D1010871
Laboratory TypePhysician Office
Certificate Effective DateMay 9, 2026
Certificate Expiration DateMay 8, 2028
Laboratory DirectorDr. Victor Z. Fariwa
Laboratory Phone(718) 339-9438
Laboratory LocationAvenue U Medical Care PC2153 E 3rd St, Brooklyn, NY 11223
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Avenue U Medical Care PC's NPI number?

The NPI number for Avenue U Medical Care PC is 1225440068. It was assigned to this organization in the NPPES registry on May 28, 2014.

Where is Avenue U Medical Care PC located?

Avenue U Medical Care PC is located at 2153 E 3rd St, Brooklyn, NY 11223. The listed phone number is (718) 339-4607.

What is Avenue U Medical Care PC's specialty?

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

Is Avenue U Medical Care PC enrolled in Medicare?

Yes. Avenue U Medical Care PC is registered in the Medicare PECOS enrollment system.

When is Avenue U Medical Care 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 December 31, 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 Avenue U Medical Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Avenue U Medical Care PC. 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 Avenue U Medical Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1010871) is associated with this NPI, valid through May 8, 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 Avenue U Medical Care PC was last updated on September 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.