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AFFINITY MEDICAL PC
NPI 1386918100
Internal Medicine in Brooklyn, NY

Active since February 24, 2012CLIA 33D2339736 · Waiver
8635 21ST AVE, 1A, BROOKLYN, NY 11214(718) 758-4100 Get Directions Write a Review

NPPES record last updated: February 24, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Affinity Medical Pc NPPES

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

AFFINITY MEDICAL PC (NPI 1386918100) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since February 2012. The organization holds a CLIA Waiver certificate valid through March 5, 2028 and lists Ilya Domnich, Owner, as its authorized official.

NPPES Registry Identity

NPI1386918100
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAFFINITY MEDICAL PC
Location Address8635 21ST AVE, 1ABrooklyn, NY 11214-4049
Mailing Address8635 21st Ave, 1aBrooklyn, NY 11214-4049 · (718) 758-4100
Phone(718) 758-4100
Organization SubpartNo
Authorized OfficialIlya DomnichOwner · (718) 758-4100
Enumeration DateFebruary 24, 2012
✔ NPI 1386918100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 217873
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
8635 21ST AVE, Brooklyn, NY 11214
Open in Google Maps ↗

Other Identifiers 1

Other217873NY · Liscence

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

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 33D2339736

Affinity Medical PC · Brooklyn, NY
Active · expires Mar 5, 2028
CLIA Number33D2339736
Laboratory TypePhysician Office
Certificate Effective DateMarch 6, 2026
Certificate Expiration DateMarch 5, 2028
Laboratory DirectorIlya Domnich
Laboratory Phone(718) 754-4100
Laboratory LocationAffinity Medical PC8635 21st Avenue Ste 1A, Brooklyn, NY 11214
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PETER M HARRISON D.D.S.
Dentist (General Practice)
8635 21ST AVE, SUITE 1C
BROOKLYN, NY 11214
Kings County (718) 372-7277
DR. ALAN D. HARRISON DDS
Dentist (General Practice)
8635 21ST AVE, SUITE 1C
BROOKLYN, NY 11214
Kings County (718) 372-7277

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 Affinity Medical PC's NPI number?

The NPI number for Affinity Medical PC is 1386918100. It was assigned to this organization in the NPPES registry on February 24, 2012.

Where is Affinity Medical PC located?

Affinity Medical PC is located at 8635 21st Ave 1A, Brooklyn, NY 11214. The listed phone number is (718) 758-4100.

What is Affinity Medical PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Affinity Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2339736) is associated with this NPI, valid through March 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Affinity Medical PC was last updated on February 24, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.