PANCARE MEDICAL PC
NPI 1457548745
Family Medicine in Jamaica, NY

Active since October 01, 2007CLIA 33D2008179 · Waiver
15915 HILLSIDE AVE, JAMAICA, NY 11432(718) 473-2005(718) 523-2311 Get Directions Write a Review

NPPES record last updated: February 10, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Pancare Medical Pc NPPES

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

PANCARE MEDICAL PC (NPI 1457548745) is a healthcare organization registered as a family medicine in Jamaica, New York and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Silas E Nwaishienyi, Director, as its authorized official.

NPPES Registry Identity

NPI1457548745
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePANCARE MEDICAL PC
Location Address15915 HILLSIDE AVEJamaica, NY 11432-3935
Mailing Address15915 Hillside AveJamaica, NY 11432-3935 · (718) 473-2005 · Fax (718) 523-2311
Fax(718) 523-2311
Organization SubpartNo
Authorized OfficialSilas E NwaishienyiDirector · (516) 610-8704
Enumeration DateOctober 1, 2007
Last NPPES UpdateFebruary 10, 2014
✔ NPI 1457548745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 243375
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
15915 HILLSIDE AVE, Jamaica, NY 11432

Other Identifiers 1

Other243375NY · License

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pancare Medical PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Emergency Medicine
NPI 1336269802
167 EVERGREEN DR
Westbury, NY 11590
(516) 610-8704
✔ PECOS✔ Accepts Medicare12 mi

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 33D2008179

Pancare Medical PC · Jamaica, NY
Active · expires Jun 6, 2028
CLIA Number33D2008179
Laboratory TypePhysician Office
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorDr. Silas Nwaishienyi
Laboratory Phone(718) 473-2005
Laboratory LocationPancare Medical PC159-15 Hillside Avenue, Jamaica, NY 11432
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Pancare Medical PC's NPI number?

The NPI number for Pancare Medical PC is 1457548745. It was assigned to this organization in the NPPES registry on October 1, 2007.

Where is Pancare Medical PC located?

Pancare Medical PC is located at 15915 Hillside Ave, Jamaica, NY 11432. The listed phone number is (718) 473-2005.

What is Pancare Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Pancare Medical PC enrolled in Medicare?

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

How many clinicians bill Medicare through Pancare Medical PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Emergency Medicine) reassigns their Medicare billing to Pancare Medical PC. 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.

Does Pancare Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2008179) is associated with this NPI, valid through June 6, 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 Pancare Medical PC was last updated on February 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.