BETHEL MEDICAL ASSOCIATES LLC
NPI 1316219256
Internal Medicine in New City, NY

Active since February 08, 2012CLIA 33D2052681 · Waiver
10 ESQUIRE RD, SUITE 9, NEW CITY, NY 10956(845) 499-2460 Get Directions Write a Review

NPPES record last updated: October 26, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Bethel Medical Associates Llc NPPES

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

BETHEL MEDICAL ASSOCIATES LLC (NPI 1316219256) is a healthcare organization registered as an internal medicine in New City, New York and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through January 15, 2027 and lists Stanley John, Owner, as its authorized official.

NPPES Registry Identity

NPI1316219256
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETHEL MEDICAL ASSOCIATES LLC
Location Address10 ESQUIRE RD, SUITE 9New City, NY 10956-3336
Mailing Address10 Esquire Rd Ste 9New City, NY 10956-3336 · (845) 499-2460
Organization SubpartNo
Authorized OfficialStanley JohnOwner · (845) 499-2460
Enumeration DateFebruary 8, 2012
Last NPPES UpdateOctober 26, 2012
✔ NPI 1316219256 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 225651✔ Licensed in NY · 259643
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.
10 ESQUIRE RD, New City, NY 10956

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)

Bethel Medical Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

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 IDO20130114000234Non-DME Part B · Clinic/Group PracticeDue dateJanuary 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Bethel Medical Associates LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Internal Medicine
NPI 1356679823
10 ESQUIRE RD SUITE 9
New City, NY 10956
(845) 499-2460
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1346272333
3 WASHINGTON CTR
Newburgh, NY 12550
(845) 563-8000
✔ PECOS✔ Accepts Medicare25 mi

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 33D2052681

Bethel Medical Associates, LLC · New City, NY
Active · expires Jan 15, 2027
CLIA Number33D2052681
Laboratory TypePhysician Office
Certificate Effective DateJanuary 16, 2025
Certificate Expiration DateJanuary 15, 2027
Laboratory DirectorDr. Stanley John
Laboratory Phone(845) 499-2460
Laboratory LocationBethel Medical Associates, LLC10 Esquire Road, Suite 9, New City, NY 10956
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 Bethel Medical Associates LLC's NPI number?

The NPI number for Bethel Medical Associates LLC is 1316219256. It was assigned to this organization in the NPPES registry on February 8, 2012.

Where is Bethel Medical Associates LLC located?

Bethel Medical Associates LLC is located at 10 Esquire Rd Suite 9, New City, NY 10956. The listed phone number is (845) 499-2460.

What is Bethel Medical Associates LLC's specialty?

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

Is Bethel Medical Associates LLC enrolled in Medicare?

Yes. Bethel Medical Associates LLC is registered in the Medicare PECOS enrollment system.

When is Bethel Medical Associates LLC'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 January 31, 2027. 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 Bethel Medical Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Bethel Medical Associates LLC. 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bethel Medical Associates LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2052681) is associated with this NPI, valid through January 15, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bethel Medical Associates LLC was last updated on October 26, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.