ELITE HEALTHCARE
NPI 1366739088
Pediatrics in Monroe, NY
About Elite Healthcare NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELITE HEALTHCARE (NPI 1366739088) is a healthcare organization registered as a pediatrics in Monroe, New York and active in the NPI registry since July 2011. The organization lists Seth Kurtz, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Group Practice 1
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)
Elite Healthcare 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.
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to Elite Healthcare, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians by Medicare Specialty 3
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.
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 Kj Medical Practice PC's NPI number?
The NPI number for Kj Medical Practice PC is 1366739088. It was assigned to this organization in the NPPES registry on July 1, 2011. The provider is doing business as Elite Healthcare.
Where is Kj Medical Practice PC located?
Kj Medical Practice PC is located at 14 Raywood Dr, Monroe, NY 10950. The listed phone number is (845) 782-4000.
What is Kj Medical Practice PC's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kj Medical Practice PC enrolled in Medicare?
Yes. Kj Medical Practice PC is registered in the Medicare PECOS enrollment system.
When is Kj Medical Practice 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 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 Kj Medical Practice PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to Kj Medical Practice 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 Nurse Practitioner (9), Emergency Medicine (1) and Internal Medicine (1). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Kj Medical Practice PC was last updated on January 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Elite Healthcare · NPI 1366739088
Pediatrics organization in Monroe, New York. Organization record, active in the CMS NPPES registry since July 1, 2011.
## Identity
- **NPI:** 1366739088 (Entity type: Organization)
- **Enumerated:** July 1, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** Kj Medical Practice Pc
- **Organization subpart:** No
- **Authorized official:** Seth Kurtz, PRESIDENT
## Practice location
- **Address:** 14 RAYWOOD DR, Monroe, NY 10950-2414
- **Phone:** (845) 782-4000 · **Fax:** (845) 782-6007
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Emergency Medicine (1), Internal Medicine (1); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 9, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1366739088) · Data from the CMS NPPES public registry.