MYLAUREL MEDICAL GROUP NY, PLLC
NPI 1477214237
General Practice in New York, NY

Active since January 04, 2022
885 3RD AVE FL 29, NEW YORK, NY 10022(917) 613-9004 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 26, 2023, Jan 13, 2023, Jan 4, 2022 (3 updates tracked since 2022).

About Mylaurel Medical Group Ny, Pllc NPPES

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

MYLAUREL MEDICAL GROUP NY, PLLC (NPI 1477214237) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since January 2022. The organization lists Branko Kolvek, Coo, as its authorized official.

NPPES Registry Identity

NPI1477214237
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameMYLAUREL MEDICAL GROUP NY, PLLC
Location Address885 3RD AVE FL 29New York, NY 10022-4834
Mailing Address885 3rd Ave Fl 29New York, NY 10022-4834 · (917) 613-9004
Organization SubpartNo
Authorized OfficialBranko KolvekCoo · (347) 497-2452
Enumeration DateJanuary 4, 2022
Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1477214237 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X
885 3RD AVE FL 29, New York, NY 10022

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Mylaurel Medical Group Ny, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

36

Medicare enrollment records show 36 clinicians reassign Medicare billing to Mylaurel Medical Group Ny, PLLC, which bills Medicare for the services they deliver. Of these, 8 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Emergency Medicine16
Nurse Practitioner11
Internal Medicine9

Nearest to this location (20)

See all 36
Internal Medicine
NPI 1942258934
115 E 57TH ST STE 630
New York, NY 10022
(212) 925-1515
✔ PECOS0.3 mi
Nurse Practitioner
NPI 1992394597
169 MADISON AVE STE 2817
New York, NY 10016
(888) 553-2823
✔ PECOS✔ Accepts Medicare1.1 mi
Emergency Medicine
NPI 1902286107
1000 10TH AVE
New York, NY 10019
(212) 523-4000
✔ PECOS1.3 mi
Emergency Medicine
NPI 1578614434
1000 10TH AVE
New York, NY 10019
(212) 523-3981
✔ PECOS✔ Accepts Medicare1.3 mi
Emergency Medicine
NPI 1053622365
462 1ST AVE RM 345A
New York, NY 10016
(212) 562-6561
✔ PECOS✔ Accepts Medicare1.3 mi
Emergency Medicine
NPI 1801821293
622 W 168 ST PH 1 137 ASSOCIATES IN EMERGENCY SERVICES CUMC
New York, NY 10032
(212) 305-2995
✔ PECOS✔ Accepts Medicare5.9 mi
Nurse Practitioner
NPI 1982983813
8002 KEW GARDENS RD STE 704
Kew Gardens, NY 11415
(718) 520-1513
✔ PECOS✔ Accepts Medicare7.9 mi
Emergency Medicine
NPI 1841653243
1400 PELHAM PKWY S BUILDING 6//SUITE B125
Bronx, NY 10461
(718) 918-5820
✔ PECOS✔ Accepts Medicare9.4 mi
Nurse Practitioner
NPI 1235746553
1 GATEWAY CTR STE 2600
Newark, NJ 07102
(866) 949-0108
✔ PECOS✔ Accepts Medicare11 mi
Nurse Practitioner
NPI 1518611573
1187 MAIN AVE STE 1F
Clifton, NJ 07011
(973) 647-5528
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1013363951
21726 138TH RD
Springfield Gardens, NY 11413
(718) 772-7951
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1508013442
1477 HYLAN BLVD
Staten Island, NY 10305
(718) 979-6900
✔ PECOS13 mi
Internal Medicine
NPI 1750619722
1 HEALTHY WAY
Oceanside, NY 11572
(516) 632-3666
✔ PECOS✔ Accepts Medicare19 mi
Internal Medicine
NPI 1518934660
700 ANDERSON HILL RD
Purchase, NY 10577
(914) 249-8072
✔ PECOS✔ Accepts Medicare24 mi
Internal Medicine
NPI 1366472011
3 CENTURY DR
Parsippany, NJ 07054
(973) 740-0607
✔ PECOS✔ Accepts Medicare26 mi
Nurse Practitioner
NPI 1972193183
765 STATE ROUTE 10
Randolph, NJ 07869
(973) 366-6600
✔ PECOS✔ Accepts Medicare33 mi
Emergency Medicine
NPI 1689025793
707 E MAIN ST
Middletown, NY 10940
(845) 333-1000
✔ PECOS✔ Accepts Medicare52 mi
Internal Medicine
NPI 1942536354
10800 KNIGHTS RD
Philadelphia, PA 19114
(215) 612-4000
✔ PECOS71 mi
Emergency Medicine
NPI 1023200714
1020 SANSOM STREET SUITE 239
Philadelphia, PA 19107
(215) 955-6844
✔ PECOS84 mi
Nurse Practitioner
NPI 1255472148
201 E. UNIVERSITY PARKWAY - CVRU BASEMENT MEDSTAR UNION MEMORIAL HOSPITAL
Baltimore, MD 21218
(410) 554-2008
✔ PECOS171 mi
See all 36 clinicians

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 Mylaurel Medical Group Ny, PLLC's NPI number?

The NPI number for Mylaurel Medical Group Ny, PLLC is 1477214237. It was assigned to this organization in the NPPES registry on January 4, 2022.

Where is Mylaurel Medical Group Ny, PLLC located?

Mylaurel Medical Group Ny, PLLC is located at 885 3rd Ave Fl 29, New York, NY 10022. The listed phone number is (917) 613-9004.

What is Mylaurel Medical Group Ny, PLLC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mylaurel Medical Group Ny, PLLC enrolled in Medicare?

Yes. Mylaurel Medical Group Ny, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mylaurel Medical Group Ny, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 36 clinicians in 3 Medicare specialties reassign their Medicare billing to Mylaurel Medical Group Ny, PLLC. 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. The largest specialties are Emergency Medicine (16), Nurse Practitioner (11) and Internal Medicine (9). Of these, 8 practice 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 Mylaurel Medical Group Ny, PLLC was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.