MID ATLANTIC MEDICAL P.C.
NPI 1376782862
Specialist in New York, NY

Active since February 07, 2009
436 FORT WASHINGTON AVE, SUITE 1H, NEW YORK, NY 10033(212) 781-4720(212) 923-9585 Get Directions Write a Review

NPPES record last updated: February 7, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid Atlantic Medical P.c. NPPES

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

MID ATLANTIC MEDICAL P.C. (NPI 1376782862) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since February 2009. The organization lists Luba Karlin, President, as its authorized official.

NPPES Registry Identity

NPI1376782862
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMID ATLANTIC MEDICAL P.C.
Location Address436 FORT WASHINGTON AVE, SUITE 1HNew York, NY 10033-3507
Mailing Address436 Fort Washington Ave, Suite 1hNew York, NY 10033-3507 · (212) 781-4720 · Fax (212) 923-9585
Fax(212) 923-9585
Organization SubpartNo
Authorized OfficialLuba KarlinPresident · (212) 781-4720
Enumeration DateFebruary 7, 2009
✔ NPI 1376782862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 219013-1
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
436 FORT WASHINGTON AVE, New York, NY 10033

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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)

Mid Atlantic Medical P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20091102000089Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mid Atlantic Medical P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Physical Medicine and Rehabilitation
NPI 1104872803
436 FORT WASHINGTON AVE SUITE 1H
New York, NY 10033
(212) 781-4720
✔ PECOS✔ Accepts MedicareSame address

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 Mid Atlantic Medical P.C.'s NPI number?

The NPI number for Mid Atlantic Medical P.C. is 1376782862. It was assigned to this organization in the NPPES registry on February 7, 2009.

Where is Mid Atlantic Medical P.C. located?

Mid Atlantic Medical P.C. is located at 436 Fort Washington Ave Suite 1H, New York, NY 10033. The listed phone number is (212) 781-4720.

What is Mid Atlantic Medical P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Mid Atlantic Medical P.C. enrolled in Medicare?

Yes. Mid Atlantic Medical P.C. is registered in the Medicare PECOS enrollment system.

When is Mid Atlantic Medical P.C.'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 March 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 Mid Atlantic Medical P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Mid Atlantic Medical P.C.. 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 Mid Atlantic Medical P.C. was last updated on February 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.