PERRY AVE FAMILY MEDICAL CENTER INC
NPI 1619973518
Family Medicine in Bronx, NY
About Perry Ave Family Medical Center Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERRY AVE FAMILY MEDICAL CENTER INC (NPI 1619973518) is a healthcare organization registered as a family medicine in Bronx, New York and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Shama R Khan, Operations Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Other Identifiers 6
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Perry Ave Family Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
82Medicare enrollment records show 82 clinicians reassign Medicare billing to Perry Ave Family Medical Center Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 47 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 23
Nearest to this location (20)
See all 82Bronx, NY 10457
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 33D2277450
Perry Avenue Family Medical Center Inc · Bronx, 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 Perry Ave Family Medical Center Inc's NPI number?
The NPI number for Perry Ave Family Medical Center Inc is 1619973518. It was assigned to this organization in the NPPES registry on June 24, 2005.
Where is Perry Ave Family Medical Center Inc located?
Perry Ave Family Medical Center Inc is located at 3071 Perry Ave, Bronx, NY 10467. The listed phone number is (718) 231-6700.
What is Perry Ave Family Medical Center Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Perry Ave Family Medical Center Inc enrolled in Medicare?
Yes. Perry Ave Family Medical Center Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Perry Ave Family Medical Center Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 82 clinicians in 23 Medicare specialties reassign their Medicare billing to Perry Ave Family Medical Center Inc. 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 Nurse Practitioner (34), Podiatry (6) and Cardiovascular Disease (Cardiology) (4). Of these, 3 practice at this address and 47 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Perry Ave Family Medical Center Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2277450) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Perry Ave Family Medical Center Inc accept?
Health plans from Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana list Perry Ave Family Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Perry Ave Family Medical Center Inc was last updated on July 8, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Perry Ave Family Medical Center Inc · NPI 1619973518
Family Medicine organization in Bronx, New York. Organization record, active in the CMS NPPES registry since June 24, 2005.
## Identity
- **NPI:** 1619973518 (Entity type: Organization)
- **Enumerated:** June 24, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Shama Khan, OPERATIONS MANAGER
## Practice location
- **Address:** 3071 PERRY AVE, Bronx, NY 10467-4111
- **Phone:** (718) 231-6700 · **Fax:** (718) 515-5454
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 82 clinicians in 23 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (34), Podiatry (6), Cardiovascular Disease (Cardiology) (4); 3 practice at this address and 47 within 10 miles; [full list](https://npiprofile.com/npi/1619973518/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 8, 2015
- **Other identifiers:** Other 2478450 (NY); Medicaid 02444553 (NY); Other 041227000012 (NY); and 3 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1619973518) · Data from the CMS NPPES public registry.