EASTERN PARK MEDICAL SERVICES,P.C.
NPI 1588957658
Internal Medicine - Pulmonary Disease in Jackson Heights, NY
About Eastern Park Medical Services,p.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EASTERN PARK MEDICAL SERVICES,P.C. (NPI 1588957658) is a healthcare organization registered as a pulmonary disease in Jackson Heights, New York and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through May 23, 2027 and lists Alveris Molina, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eastern Park Medical Services,p.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastern Park Medical Services,p.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 33D2024812
Eastern Park Medical Services, PC · Jackson Heights, NYFrequently 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 Eastern Park Medical Services,p.C.'s NPI number?
The NPI number for Eastern Park Medical Services,p.C. is 1588957658. It was assigned to this organization in the NPPES registry on May 24, 2011.
Where is Eastern Park Medical Services,p.C. located?
Eastern Park Medical Services,p.C. is located at 9315 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (917) 968-6844.
What is Eastern Park Medical Services,p.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.
Is Eastern Park Medical Services,p.C. enrolled in Medicare?
Yes. Eastern Park Medical Services,p.C. is registered in the Medicare PECOS enrollment system.
When is Eastern Park Medical Services,p.C.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Eastern Park Medical Services,p.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Eastern Park Medical Services,p.C.. 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 Eastern Park Medical Services,p.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2024812) is associated with this NPI, valid through May 23, 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 Eastern Park Medical Services,p.C. was last updated on May 24, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Eastern Park Medical Services,p.c. · NPI 1588957658
Pulmonary Disease organization in Jackson Heights, New York. Organization record, active in the CMS NPPES registry since May 24, 2011.
## Identity
- **NPI:** 1588957658 (Entity type: Organization)
- **Enumerated:** May 24, 2011
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Alveris Molina, PRESIDENT
## Practice location
- **Address:** 9315 ROOSEVELT AVE, Jackson Heights, NY 11372-7943
- **Phone:** (917) 968-6844
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 24, 2011
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1588957658) · Data from the CMS NPPES public registry.