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CROWN HEIGHTS MEDICAL DOCTOR PC
NPI 1467040907
Clinic/Center - Urgent Care in Brooklyn, NY

Active since January 08, 2021
236 UTICA AVE, BROOKLYN, NY 11213(718) 756-1309(718) 756-1391 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 13, 2024, Aug 9, 2021, Jan 8, 2021 (3 updates tracked since 2021).

About Crown Heights Medical Doctor Pc NPPES

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

CROWN HEIGHTS MEDICAL DOCTOR PC (NPI 1467040907) is a healthcare organization registered as an urgent care in Brooklyn, New York and active in the NPI registry since January 2021. The organization lists Indra Parboo, Front Offic, as its authorized official.

NPPES Registry Identity

NPI1467040907
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameCROWN HEIGHTS MEDICAL DOCTOR PC
Location Address236 UTICA AVEBrooklyn, NY 11213-3204
Mailing Address10 Harbor Ct ERoslyn, NY 11576-2435 · (718) 756-1309
Phone(718) 756-1309
Fax(718) 756-1391
Organization SubpartNo
Authorized OfficialIndra ParbooFront Offic · (718) 756-1309
Enumeration DateJanuary 8, 2021
Last NPPES UpdateNovember 13, 20243 updates tracked since enumeration
NPPES CertifiedNovember 13, 2024
✔ NPI 1467040907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
236 UTICA AVE, Brooklyn, NY 11213
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Crown Heights Medical Doctor PC, 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 (2)

Sami Pervaiz, DO
Internal Medicine
NPI 1528592631
1421 SAINT JOHNS PL
Brooklyn, NY 11213
(929) 484-1236
✔ PECOS✔ Accepts MedicareSame address
Pervaiz Iqbal, MD
Internal Medicine
NPI 1083658918
11616 LIBERTY AVE
South Richmond Hill, NY 11419
(718) 641-1117
✔ PECOS✔ Accepts Medicare5.6 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 Crown Heights Medical Doctor PC's NPI number?

The NPI number for Crown Heights Medical Doctor PC is 1467040907. It was assigned to this organization in the NPPES registry on January 8, 2021.

Where is Crown Heights Medical Doctor PC located?

Crown Heights Medical Doctor PC is located at 236 Utica Ave, Brooklyn, NY 11213. The listed phone number is (718) 756-1309.

What is Crown Heights Medical Doctor PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Crown Heights Medical Doctor PC enrolled in Medicare?

Yes. Crown Heights Medical Doctor PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Crown Heights Medical Doctor PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Internal Medicine, reassign their Medicare billing to Crown Heights Medical Doctor 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. 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.

When was this NPI record last updated?

The NPPES record for Crown Heights Medical Doctor PC was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.