Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FOUR CORNERS MEDICAL PC
NPI 1356071526
Psychiatry & Neurology - Neurology in Jamaica, NY

Active since June 12, 2022
14314 LAKEWOOD AVE, JAMAICA, NY 11435(347) 466-3605 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, May 21, 2025, Mar 1, 2023 and 1 more (4 updates tracked since 2022).

About Four Corners Medical Pc NPPES

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

FOUR CORNERS MEDICAL PC (NPI 1356071526) is a healthcare organization registered as a neurology in Jamaica, New York and active in the NPI registry since June 2022. The organization lists Liliia Vladov, Manager, as its authorized official.

NPPES Registry Identity

NPI1356071526
Entity TypeOrganization
Primary Taxonomy2084N0400X
Legal Business NameFOUR CORNERS MEDICAL PC
Location Address14314 LAKEWOOD AVEJamaica, NY 11435-5408
Mailing Address14314 Lakewood AveJamaica, NY 11435-5408 · (347) 466-3605 · Fax (347) 317-7895
Organization SubpartNo
Authorized OfficialLiliia VladovManager · (347) 466-3605
Enumeration DateJune 12, 2022
Last NPPES UpdateOctober 1, 20264 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1356071526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
14314 LAKEWOOD AVE, Jamaica, NY 11435

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Four Corners Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Four Corners Medical PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Neurology
NPI 1073788667
10 UNION SQ E
New York, NY 10003
(914) 428-0529
✔ PECOS✔ Accepts Medicare10 mi
Cardiovascular Disease (Cardiology)
NPI 1568469757
1231 DEER PARK AVE
North Babylon, NY 11703
(631) 667-0388
✔ PECOS✔ Accepts Medicare26 mi
Hospitalist
NPI 1679994396
50 MAPLE ST
Springfield, MA 01103
(413) 748-6484
✔ PECOS✔ Accepts Medicare116 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 Four Corners Medical PC's NPI number?

The NPI number for Four Corners Medical PC is 1356071526. It was assigned to this organization in the NPPES registry on June 12, 2022.

Where is Four Corners Medical PC located?

Four Corners Medical PC is located at 14314 Lakewood Ave, Jamaica, NY 11435. The listed phone number is (347) 466-3605.

What is Four Corners Medical PC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Four Corners Medical PC enrolled in Medicare?

Yes. Four Corners Medical PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Four Corners Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Four Corners Medical PC, in Cardiovascular Disease (Cardiology), Hospitalist and Neurology. 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 Four Corners Medical PC was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.