DE MEDICAL NY PC
NPI 1417835034
Clinic/Center - Rehabilitation, Cardiac Facilities in Commack, NY

Active since August 22, 2025
83 HAMLET DR, COMMACK, NY 11725(631) 372-8456 Get Directions Write a Review

NPPES record last updated: September 29, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About De Medical Ny Pc NPPES

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

DE MEDICAL NY PC (NPI 1417835034) is a healthcare organization registered as a rehabilitation, cardiac facilities in Commack, New York and active in the NPI registry since August 2025. The organization lists Douglas Elwood, Owner, as its authorized official.

NPPES Registry Identity

NPI1417835034
Entity TypeOrganization
Primary Taxonomy261QR0404X
Legal Business NameDE MEDICAL NY PC
Location Address83 HAMLET DRCommack, NY 11725-4441
Mailing Address83 Hamlet DrCommack, NY 11725-4441 · (631) 372-8456
Organization SubpartNo
Authorized OfficialDouglas ElwoodOwner · (631) 372-8456
Enumeration DateAugust 22, 2025
Last NPPES UpdateSeptember 29, 2025
NPPES CertifiedSeptember 29, 2025
✔ NPI 1417835034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Cardiac FacilitiesAmbulatory Health Care Facilities
Taxonomy Code261QR0404X
83 HAMLET DR, Commack, NY 11725

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

De Medical Ny Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to De Medical Ny PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

General Practice
NPI 1033316112
530 1ST AVE SUITE 600
New York, NY 10016
(212) 686-7500
✔ PECOS36 mi
Cardiovascular Disease (Cardiology)
NPI 1689105033
506 6TH ST
Brooklyn, NY 11215
(718) 780-3000
✔ PECOS✔ Accepts Medicare37 mi
Emergency Medicine
NPI 1104850171
9 DUGWAY RD
Rutland, VT 05701
(802) 775-1158
✔ PECOS✔ Accepts Medicare198 mi

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 De Medical Ny PC's NPI number?

The NPI number for De Medical Ny PC is 1417835034. It was assigned to this organization in the NPPES registry on August 22, 2025.

Where is De Medical Ny PC located?

De Medical Ny PC is located at 83 Hamlet Dr, Commack, NY 11725. The listed phone number is (631) 372-8456.

What is De Medical Ny PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Cardiac Facilities, with taxonomy code 261QR0404X.

Is De Medical Ny PC enrolled in Medicare?

Yes. De Medical Ny PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through De Medical Ny PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to De Medical Ny PC, in Cardiovascular Disease (Cardiology), Emergency Medicine and General Practice. 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 De Medical Ny PC was last updated on September 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.