ADULT AND GERIATRIC MEDICAL CARE PC
NPI 1366567414
Internal Medicine - Geriatric Medicine in Brooklyn, NY

Active since March 20, 2007
4802 10TH AVE FL 10, BROOKLYN, NY 11219(917) 609-5537(718) 630-3761 Get Directions Write a Review

NPPES record last updated: September 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 20, 2022, Aug 22, 2020 (2 updates tracked since 2020).

About Adult And Geriatric Medical Care Pc NPPES

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

ADULT AND GERIATRIC MEDICAL CARE PC (NPI 1366567414) is a healthcare organization registered as a geriatric medicine in Brooklyn, New York and active in the NPI registry since March 2007. The organization lists Diana Levina, President, as its authorized official.

NPPES Registry Identity

NPI1366567414
Entity TypeOrganization
Primary Taxonomy207RG0300X
Legal Business NameADULT AND GERIATRIC MEDICAL CARE PC
Location Address4802 10TH AVE FL 10Brooklyn, NY 11219-2916
Mailing Address157 Beaumont StBrooklyn, NY 11235-4118 · (917) 609-4748 · Fax (718) 630-3761
Fax(718) 630-3761
Organization SubpartNo
Authorized OfficialDiana LevinaPresident · (917) 609-5537
Enumeration DateMarch 20, 2007
Last NPPES UpdateSeptember 20, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 20, 2022
✔ NPI 1366567414 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
Also ListedClinic/CenterTaxonomy 261Q00000X · License 234232 (NY)
4802 10TH AVE FL 10, Brooklyn, NY 11219

Other Identifiers 1

Medicaid03416084NY

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)

Adult And Geriatric Medical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

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 IDO20090507000476Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
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 Adult And Geriatric Medical Care PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Geriatric Medicine
NPI 1942268701
4802 10TH AVE MAIMONIDES HOSPITAL,
Brooklyn, NY 11219
(718) 283-6073
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1114017472
2865 BRIGHTON 3RD ST
Brooklyn, NY 11235
(718) 891-4400
✔ PECOS4.4 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 Adult And Geriatric Medical Care PC's NPI number?

The NPI number for Adult And Geriatric Medical Care PC is 1366567414. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Adult And Geriatric Medical Care PC located?

Adult And Geriatric Medical Care PC is located at 4802 10th Ave Fl 10, Brooklyn, NY 11219. The listed phone number is (917) 609-5537.

What is Adult And Geriatric Medical Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Adult And Geriatric Medical Care PC enrolled in Medicare?

Yes. Adult And Geriatric Medical Care PC is registered in the Medicare PECOS enrollment system.

When is Adult And Geriatric Medical Care PC'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 November 30, 2026. 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 Adult And Geriatric Medical Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Adult And Geriatric Medical Care PC, in Geriatric Medicine and Internal Medicine. 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 and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Adult And Geriatric Medical Care PC was last updated on September 20, 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.