DREAM MEDICAL CARE, PC
NPI 1548410780
Legal Medicine in Corona, NY

Active since September 24, 2008CLIA 33D2009550 · Waiver
10311 NORTHERN BLVD, CORONA, NY 11368(718) 205-0500(718) 205-0505 Get Directions Write a Review

NPPES record last updated: May 6, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dream Medical Care, Pc NPPES

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

DREAM MEDICAL CARE, PC (NPI 1548410780) is a healthcare organization registered as a legal medicine in Corona, New York and active in the NPI registry since September 2008. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Kamal Khan, Md, as its authorized official.

NPPES Registry Identity

NPI1548410780
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameDREAM MEDICAL CARE, PC
Location Address10311 NORTHERN BLVDCorona, NY 11368-1136
Mailing Address10311 Northern BlvdCorona, NY 11368-1136 · (718) 205-0500 · Fax (718) 205-0505
Fax(718) 205-0505
Organization SubpartNo
Authorized OfficialKamal KhanMd · (718) 205-0500
Enumeration DateSeptember 24, 2008
Last NPPES UpdateMay 6, 2009
✔ NPI 1548410780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in NY · 233937
Definition
The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.
10311 NORTHERN BLVD, Corona, NY 11368

Other Identifiers 1

Medicare PING100000085NY

Group Practice 1

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)

Dream Medical Care, 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 Dream Medical Care, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1467413872
10311 NORTHERN BLVD 1ST FLOOR
Corona, NY 11368
(718) 205-0500
✔ PECOS✔ Accepts MedicareSame address

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 33D2009550

Dream Medical Care PC · Corona, NY
Active · expires Jul 6, 2028
CLIA Number33D2009550
Laboratory TypePhysician Office
Certificate Effective DateJuly 7, 2026
Certificate Expiration DateJuly 6, 2028
Laboratory DirectorDr. Kamal Khan
Laboratory Phone(718) 205-0500
Laboratory LocationDream Medical Care PC103-11 Northern Blvd, Corona, NY 11368
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 Dream Medical Care, PC's NPI number?

The NPI number for Dream Medical Care, PC is 1548410780. It was assigned to this organization in the NPPES registry on September 24, 2008.

Where is Dream Medical Care, PC located?

Dream Medical Care, PC is located at 10311 Northern Blvd, Corona, NY 11368. The listed phone number is (718) 205-0500.

What is Dream Medical Care, PC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Is Dream Medical Care, PC enrolled in Medicare?

Yes. Dream Medical Care, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dream Medical Care, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Dream Medical Care, 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 Dream Medical Care, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2009550) is associated with this NPI, valid through July 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 Dream Medical Care, PC was last updated on May 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.