GREAT HEALTH MEDICAL CA PC
NPI 1285448530
Family Medicine in Brooklyn, NY

Active since February 06, 2025
407 WILLOUGHBY AVE, BROOKLYN, NY 11205(212) 201-1252 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2025, Dec 3, 2025, Nov 10, 2025 and 2 more (5 updates tracked since 2025).

About Great Health Medical Ca Pc NPPES

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

GREAT HEALTH MEDICAL CA PC (NPI 1285448530) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since February 2025. The organization lists Sonika Randev, Md, as its authorized official.

NPPES Registry Identity

NPI1285448530
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGREAT HEALTH MEDICAL CA PC
Location Address407 WILLOUGHBY AVEBrooklyn, NY 11205-4590
Mailing Address407 Willoughby AveBrooklyn, NY 11205-4590
Organization SubpartNo
Authorized OfficialSonika RandevMd · (212) 734-6621
Enumeration DateFebruary 6, 2025
Last NPPES UpdateDecember 16, 20255 updates tracked since enumeration
NPPES CertifiedDecember 16, 2025
✔ NPI 1285448530 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
407 WILLOUGHBY AVE, Brooklyn, NY 11205

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Health Medical Ca Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Great Health Medical Ca PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Physical Medicine and Rehabilitation
NPI 1023403268
401 N MICHIGAN AVE STE 1200
Chicago, IL 60611
(312) 635-0973
✔ PECOS✔ Accepts Medicare715 mi
Nurse Practitioner
NPI 1255122289
28241 CROWN VALLEY PKWY STE F312
Laguna Niguel, CA 92677
(949) 424-5613
✔ PECOS2,439 mi
Nurse Practitioner
NPI 1124993290
24552 PACIFIC PARK DR
Aliso Viejo, CA 92656
(949) 446-0090
✔ PECOS✔ Accepts Medicare2,439 mi
Nurse Practitioner
NPI 1396548079
13819 ENADIA WAY
Van Nuys, CA 91405
(818) 257-4303
✔ PECOS✔ Accepts Medicare2,460 mi

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 Great Health Medical Ca PC's NPI number?

The NPI number for Great Health Medical Ca PC is 1285448530. It was assigned to this organization in the NPPES registry on February 6, 2025.

Where is Great Health Medical Ca PC located?

Great Health Medical Ca PC is located at 407 Willoughby Ave, Brooklyn, NY 11205. The listed phone number is (212) 201-1252.

What is Great Health Medical Ca PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Great Health Medical Ca PC enrolled in Medicare?

Yes. Great Health Medical Ca PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Health Medical Ca PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Great Health Medical Ca 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. The largest specialties are Nurse Practitioner (3) and Physical Medicine and Rehabilitation (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great Health Medical Ca PC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.