SJR MEDICAL, PC
NPI 1366468936
Clinic/Center - Multi-Specialty in Yonkers, NY
About Sjr Medical, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SJR MEDICAL, PC (NPI 1366468936) is a healthcare organization registered as a multi-specialty in Yonkers, New York and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027, maintains 5 additional practice locations, and lists Paul P. Antonecchia, M.d, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 15
Secondary Practice Locations 5
Other Identifiers 1
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)
Sjr Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
48Medicare enrollment records show 48 clinicians reassign Medicare billing to Sjr Medical, PC, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 42 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 48Yonkers, NY 10701
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 33D2075539
Sjr Medical PC St John's Medical Group Hartsdale · Hartsdale, 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 Sjr Medical, PC's NPI number?
The NPI number for Sjr Medical, PC is 1366468936. It was assigned to this organization in the NPPES registry on July 15, 2006.
Where is Sjr Medical, PC located?
Sjr Medical, PC is located at 1088 North Broadway, Yonkers, NY 10701. The listed phone number is (914) 207-0004.
What is Sjr Medical, PC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is Sjr Medical, PC enrolled in Medicare?
Yes. Sjr Medical, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Sjr Medical, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 48 clinicians in 15 Medicare specialties reassign their Medicare billing to Sjr 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 (13), Nurse Practitioner (8) and Gastroenterology (6). Of these, 8 practice at this address and 42 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Sjr Medical, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2075539) is associated with this NPI, valid through March 26, 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 Sjr Medical, PC was last updated on May 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Sjr Medical, Pc · NPI 1366468936
Multi-Specialty organization in Yonkers, New York. Organization record, active in the CMS NPPES registry since July 15, 2006.
## Identity
- **NPI:** 1366468936 (Entity type: Organization)
- **Enumerated:** July 15, 2006
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Organization subpart:** No
- **Authorized official:** Paul Antonecchia, M.D
## Practice location
- **Address:** 1088 NORTH BROADWAY, Yonkers, NY 10701
- **Phone:** (914) 207-0004 · **Fax:** (914) 965-0107
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 48 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (13), Nurse Practitioner (8), Gastroenterology (6); 8 practice at this address and 42 within 10 miles; [full list](https://npiprofile.com/npi/1366468936/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 16, 2025
- **Other identifiers:** Medicaid 02384247 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1366468936) · Data from the CMS NPPES public registry.