AFFINITY MEDICAL PC
NPI 1386918100
Internal Medicine in Brooklyn, NY
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
Specialties & Licenses
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)
Affinity Medical Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Affinity Medical PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 33D2339736
Affinity Medical PC · Brooklyn, 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 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.
Is Affinity Medical PC enrolled in Medicare?
Yes. Affinity Medical PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Affinity Medical PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Affinity Medical PC, in Internal Medicine and Nurse Practitioner. 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Affinity Medical Pc · NPI 1386918100
Internal Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since February 24, 2012.
## Identity
- **NPI:** 1386918100 (Entity type: Organization)
- **Enumerated:** February 24, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Ilya Domnich, OWNER
## Practice location
- **Address:** 8635 21ST AVE, 1A, Brooklyn, NY 11214-4049
- **Phone:** (718) 758-4100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2012
- **Other identifiers:** Other 217873 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1386918100) · Data from the CMS NPPES public registry.