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HOME PHYSICIAN ASSISTANT SERVICES PC
NPI 1639782972
Family Medicine in Brooklyn, NY

Active since August 26, 2020
2119 E 15TH ST STE B1, BROOKLYN, NY 11229(718) 339-2901 Get Directions Write a Review

NPPES record last updated: August 26, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Home Physician Assistant Services Pc NPPES

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

HOME PHYSICIAN ASSISTANT SERVICES PC (NPI 1639782972) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since August 2020. The organization lists Khaled Elbanna, Md, as its authorized official.

NPPES Registry Identity

NPI1639782972
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHOME PHYSICIAN ASSISTANT SERVICES PC
Location Address2119 E 15TH ST STE B1Brooklyn, NY 11229-4376
Mailing Address2119 E 15th St Ste B1Brooklyn, NY 11229-4376 · (718) 339-2901
Phone(718) 339-2901
Organization SubpartNo
Authorized OfficialKhaled ElbannaMd · (646) 321-2331
Enumeration DateAugust 26, 2020
NPPES CertifiedAugust 26, 2020
✔ NPI 1639782972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2119 E 15TH ST STE B1, Brooklyn, NY 11229
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Home Physician Assistant Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Home Physician Assistant Services PC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Mark Vine, M.D.
Urology
NPI 1386668010
123 MAPLE AVE SUITE 203
Cedarhurst, NY 11516
(516) 561-6200
✔ PECOS✔ Accepts Medicare12 mi
Editha Quirino
Nurse Practitioner
NPI 1306695960
233-15 HILLSIDE AVENUE QUEENS VILLAGE BACK OF THE AFC URGENT CARE CENTER
Queens, NY 11427
(347) 993-0619
✔ PECOS15 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Home Physician Assistant Services PC's NPI number?

The NPI number for Home Physician Assistant Services PC is 1639782972. It was assigned to this organization in the NPPES registry on August 26, 2020.

Where is Home Physician Assistant Services PC located?

Home Physician Assistant Services PC is located at 2119 E 15th St Ste B1, Brooklyn, NY 11229. The listed phone number is (718) 339-2901.

What is Home Physician Assistant Services PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Home Physician Assistant Services PC enrolled in Medicare?

Yes. Home Physician Assistant Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Home Physician Assistant Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Home Physician Assistant Services PC, in Nurse Practitioner and Urology. 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.

When was this NPI record last updated?

The NPPES record for Home Physician Assistant Services PC was last updated on August 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.