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MARINA GAFANOVICH MD PC
NPI 1235301391
Internal Medicine in New York, NY

Active since March 29, 2008CLIA 33D1083318 · Waiver
1550 YORK AVE, NEW YORK, NY 10028(212) 249-6218(212) 628-7059 Get Directions Write a Review

NPPES record last updated: March 29, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Marina Gafanovich Md Pc NPPES

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

MARINA GAFANOVICH MD PC (NPI 1235301391) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since March 2008. The organization holds a CLIA Waiver certificate valid through July 31, 2028 and lists Marina Gafanovich, President, as its authorized official.

NPPES Registry Identity

NPI1235301391
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMARINA GAFANOVICH MD PC
Location Address1550 YORK AVENew York, NY 10028-5970
Mailing Address1550 York AveNew York, NY 10028-5970 · (212) 249-6218 · Fax (212) 628-7059
Phone(212) 249-6218
Fax(212) 628-7059
Organization SubpartNo
Authorized OfficialMarina GafanovichPresident · (212) 249-6218
Enumeration DateMarch 29, 2008
✔ NPI 1235301391 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.
1550 YORK AVE, New York, NY 10028
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marina Gafanovich Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Marina Gafanovich MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Marina Gafanovich, M.D.
Internal Medicine
NPI 1942328802
1550 YORK AVE
New York, NY 10028
(212) 249-6218
✔ 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 33D1083318

Marina Gafanovich MD PC · New York, NY
Active · expires Jul 31, 2028
CLIA Number33D1083318
Laboratory TypePhysician Office
Certificate Effective DateAugust 1, 2026
Certificate Expiration DateJuly 31, 2028
Laboratory DirectorMarina Gafanovich
Laboratory Phone(212) 249-6218
Laboratory LocationMarina Gafanovich MD PC1550 York Avenue, New York, NY 10028
CLIA data matches this NPI record on: Address Name Phone
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 Marina Gafanovich MD PC's NPI number?

The NPI number for Marina Gafanovich MD PC is 1235301391. It was assigned to this organization in the NPPES registry on March 29, 2008.

Where is Marina Gafanovich MD PC located?

Marina Gafanovich MD PC is located at 1550 York Ave, New York, NY 10028. The listed phone number is (212) 249-6218.

What is Marina Gafanovich MD PC's specialty?

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

Is Marina Gafanovich MD PC enrolled in Medicare?

Yes. Marina Gafanovich MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Marina Gafanovich MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Marina Gafanovich MD 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 Marina Gafanovich MD PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1083318) is associated with this NPI, valid through July 31, 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 Marina Gafanovich MD PC was last updated on March 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.