GREEN FAMILY HEALTH NP PC
NPI 1639050891
Nurse Practitioner - Family in Flushing, NY
About Green Family Health Np Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GREEN FAMILY HEALTH NP PC (NPI 1639050891) is a healthcare organization registered as a family in Flushing, New York and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Sung Hee Kam, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Green Family Health Np 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 Green Family Health Np PC, 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 33D2335398
Green Family Health Np PC · Flushing, 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 Green Family Health Np PC's NPI number?
The NPI number for Green Family Health Np PC is 1639050891. It was assigned to this organization in the NPPES registry on September 11, 2025.
Where is Green Family Health Np PC located?
Green Family Health Np PC is located at 15301 Northern Blvd Ste 2F, Flushing, NY 11354. The listed phone number is (929) 569-5751.
What is Green Family Health Np PC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Green Family Health Np PC enrolled in Medicare?
Yes. Green Family Health Np PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Green Family Health Np PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Green Family Health Np 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 Green Family Health Np PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2335398) is associated with this NPI, valid through March 26, 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 Green Family Health Np PC was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Green Family Health Np Pc · NPI 1639050891
Family organization in Flushing, New York. Organization record, active in the CMS NPPES registry since September 11, 2025.
## Identity
- **NPI:** 1639050891 (Entity type: Organization)
- **Enumerated:** September 11, 2025
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **Organization subpart:** No
- **Authorized official:** Sung Hee Kam, OWNER
## Practice location
- **Address:** 15301 NORTHERN BLVD STE 2F, Flushing, NY 11354-5038
- **Phone:** (929) 569-5751
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 11, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1639050891) · Data from the CMS NPPES public registry.