YOUR NEIGHBORHOOD CLINIC LLC
NPI 1407424021
Clinic/Center - Primary Care in Springfield, NJ
About Your Neighborhood Clinic Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
YOUR NEIGHBORHOOD CLINIC LLC (NPI 1407424021) is a healthcare organization registered as a primary care in Springfield, New Jersey and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through December 14, 2026 and lists Mary Odusanya, Apn, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Your Neighborhood Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Your Neighborhood Clinic LLC, 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 (3)
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 31D2205517
Your Neighborhood Clinic · Springfield, NJFrequently 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 Your Neighborhood Clinic LLC's NPI number?
The NPI number for Your Neighborhood Clinic LLC is 1407424021. It was assigned to this organization in the NPPES registry on June 11, 2021.
Where is Your Neighborhood Clinic LLC located?
Your Neighborhood Clinic LLC is located at 454 Morris Ave, Springfield, NJ 07081. The listed phone number is (908) 312-0288.
What is Your Neighborhood Clinic LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Your Neighborhood Clinic LLC enrolled in Medicare?
Yes. Your Neighborhood Clinic LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Your Neighborhood Clinic LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Your Neighborhood Clinic LLC. 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.
Does Your Neighborhood Clinic LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 31D2205517) is associated with this NPI, valid through December 14, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Your Neighborhood Clinic LLC was last updated on June 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Your Neighborhood Clinic Llc · NPI 1407424021
Primary Care organization in Springfield, New Jersey. Organization record, active in the CMS NPPES registry since June 11, 2021.
## Identity
- **NPI:** 1407424021 (Entity type: Organization)
- **Enumerated:** June 11, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Mary Odusanya, APN
## Practice location
- **Address:** 454 MORRIS AVE, Springfield, NJ 07081-1158
- **Phone:** (908) 312-0288
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2021
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407424021) · Data from the CMS NPPES public registry.