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PROMED PREFERRED MA 3 PLLC
NPI 1306724307
Internal Medicine in Monsey, NY

Active since August 26, 2025
20 RITA AVE UNIT 201, MONSEY, NY 10952(615) 499-3165 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Promed Preferred Ma 3 Pllc NPPES

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

PROMED PREFERRED MA 3 PLLC (NPI 1306724307) is a healthcare organization registered as an internal medicine in Monsey, New York and active in the NPI registry since August 2025. The organization lists Lev Grinman, President, as its authorized official.

NPPES Registry Identity

NPI1306724307
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROMED PREFERRED MA 3 PLLC
Location Address20 RITA AVE UNIT 201Monsey, NY 10952-2693
Mailing Address329 S Oyster Bay Rd # 2059Plainview, NY 11803-3301
Phone(615) 499-3165
Organization SubpartNo
Authorized OfficialLev GrinmanPresident · (615) 499-3165
Enumeration DateAugust 26, 2025
NPPES CertifiedAugust 26, 2025
✔ NPI 1306724307 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.
20 RITA AVE UNIT 201, Monsey, NY 10952
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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)

Promed Preferred Ma 3 Pllc 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 Promed Preferred Ma 3 PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nadege Tan, N.P.
Nurse Practitioner
NPI 1760732127
140 WOOD RD STE 406
Braintree, MA 02184
(857) 246-9393
✔ PECOS✔ Accepts Medicare174 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 Promed Preferred Ma 3 PLLC's NPI number?

The NPI number for Promed Preferred Ma 3 PLLC is 1306724307. It was assigned to this organization in the NPPES registry on August 26, 2025.

Where is Promed Preferred Ma 3 PLLC located?

Promed Preferred Ma 3 PLLC is located at 20 Rita Ave Unit 201, Monsey, NY 10952. The listed phone number is (615) 499-3165.

What is Promed Preferred Ma 3 PLLC's specialty?

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

Is Promed Preferred Ma 3 PLLC enrolled in Medicare?

Yes. Promed Preferred Ma 3 PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Promed Preferred Ma 3 PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Promed Preferred Ma 3 PLLC. 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.

When was this NPI record last updated?

The NPPES record for Promed Preferred Ma 3 PLLC was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.