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PRIVATE MEDICAL NEW YORK, PC
NPI 1487203378
Internal Medicine in New York, NY

Active since September 04, 2019CLIA 33D2209993 · Waiver
110 E 60TH ST # 808, NEW YORK, NY 10022(917) 781-1919(917) 722-1091 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 11, 2022, Oct 4, 2019, Sep 4, 2019 (3 updates tracked since 2019).

About Private Medical New York, Pc NPPES

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

PRIVATE MEDICAL NEW YORK, PC (NPI 1487203378) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through January 18, 2027 and lists Jordan Lewis Shlain, Ceo, as its authorized official.

NPPES Registry Identity

NPI1487203378
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePRIVATE MEDICAL NEW YORK, PC
Location Address110 E 60TH ST # 808New York, NY 10022-1688
Mailing Address110 E 60th St # 808New York, NY 10022-1688 · (212) 473-7888 · Fax (212) 931-1888
Phone(917) 781-1919
Fax(917) 722-1091
Organization SubpartNo
Authorized OfficialJordan Lewis ShlainCeo · (212) 473-7888
Enumeration DateSeptember 4, 2019
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1487203378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X
110 E 60TH ST # 808, New York, NY 10022
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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

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 33D2209993

Private Medical New York, PC · New York, NY
Active · expires Jan 18, 2027
CLIA Number33D2209993
Laboratory TypePhysician Office
Certificate Effective DateJanuary 19, 2025
Certificate Expiration DateJanuary 18, 2027
Laboratory DirectorDr. Jordan Shlain
Laboratory Phone(917) 781-1919
Laboratory LocationPrivate Medical New York, PC110 E 60th Street, Suite 808, New York, NY 10022
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 Private Medical New York, PC's NPI number?

The NPI number for Private Medical New York, PC is 1487203378. It was assigned to this organization in the NPPES registry on September 4, 2019.

Where is Private Medical New York, PC located?

Private Medical New York, PC is located at 110 E 60th St # 808, New York, NY 10022. The listed phone number is (917) 781-1919.

What is Private Medical New York, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Private Medical New York, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2209993) is associated with this NPI, valid through January 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Private Medical New York, PC was last updated on August 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.