MK HEALTHCARE MEDICAL PC
NPI 1316426299
Specialist in Ridgewood, NY
About Mk Healthcare Medical Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MK HEALTHCARE MEDICAL PC (NPI 1316426299) is a healthcare organization registered as a specialist in Ridgewood, New York and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through January 7, 2027 and lists Paul Ambar, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mk Healthcare Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Mk Healthcare Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 8
Clinicians, nearest first (11)
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 33D1063185
Mk Healthcare Medical PC · Ridgewood, NYFrequently 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 Mk Healthcare Medical PC's NPI number?
The NPI number for Mk Healthcare Medical PC is 1316426299. It was assigned to this organization in the NPPES registry on August 10, 2018.
Where is Mk Healthcare Medical PC located?
Mk Healthcare Medical PC is located at 5629 Metropolitan Ave, Ridgewood, NY 11385. The listed phone number is (718) 418-0300.
What is Mk Healthcare Medical PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Mk Healthcare Medical PC enrolled in Medicare?
Yes. Mk Healthcare Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mk Healthcare Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 8 Medicare specialties reassign their Medicare billing to Mk Healthcare Medical 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 Internal Medicine (3), Physical Therapist in Private Practice (2) and Allergy/Immunology (1). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Mk Healthcare Medical PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1063185) is associated with this NPI, valid through January 7, 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 Mk Healthcare Medical PC was last updated on September 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mk Healthcare Medical Pc · NPI 1316426299
Specialist organization in Ridgewood, New York. Organization record, active in the CMS NPPES registry since August 10, 2018.
## Identity
- **NPI:** 1316426299 (Entity type: Organization)
- **Enumerated:** August 10, 2018
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Paul Ambar, CREDENTIALING MANAGER
## Practice location
- **Address:** 5629 METROPOLITAN AVE, Ridgewood, NY 11385
- **Phone:** (718) 418-0300 · **Fax:** (718) 418-0301
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 8 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (3), Physical Therapist in Private Practice (2), Allergy/Immunology (1); 2 practice at this address and 9 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2022
- **Other identifiers:** Medicaid 00825003 (NY); Other 149503 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1316426299) · Data from the CMS NPPES public registry.