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VIVIFY MEDICAL PLLC
NPI 1639908973
Internal Medicine - Cardiovascular Disease in New York, NY

Active since July 26, 2024CLIA 33D2311464 · Waiver
125 MAIDEN LN RM 6B, NEW YORK, NY 10038(718) 732-3634(718) 362-1651 Get Directions Write a Review

NPPES record last updated: January 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 22, 2026, Nov 5, 2024, Aug 7, 2024 and 2 more (5 updates tracked since 2024).

About Vivify Medical Pllc NPPES

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

VIVIFY MEDICAL PLLC (NPI 1639908973) is a healthcare organization registered as a cardiovascular disease in New York, New York and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through September 22, 2028 and lists Amnon Beniaminovitz, Owner, as its authorized official.

NPPES Registry Identity

NPI1639908973
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameVIVIFY MEDICAL PLLC
Location Address125 MAIDEN LN RM 6BNew York, NY 10038-4715
Mailing Address125 Maiden Ln Rm 6bNew York, NY 10038-4715 · (212) 480-9500 · Fax (212) 480-9700
Phone(718) 732-3634
Fax(718) 362-1651
Organization SubpartNo
Authorized OfficialAmnon BeniaminovitzOwner · (212) 480-9500
Enumeration DateJuly 26, 2024
Last NPPES UpdateJanuary 22, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2026
✔ NPI 1639908973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
125 MAIDEN LN RM 6B, New York, NY 10038
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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)

Vivify Medical Pllc 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 Vivify Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Amnon Beniaminovitz, M.D.
Cardiovascular Disease (Cardiology)
NPI 1861770604
125 MAIDEN LN RM 6B
New York, NY 10038
(212) 480-9500
✔ 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 33D2311464

Vivify Medical PLLC · New York, NY
Active · expires Sep 22, 2028
CLIA Number33D2311464
Laboratory TypePhysician Office
Certificate Effective DateSeptember 23, 2026
Certificate Expiration DateSeptember 22, 2028
Laboratory DirectorDr. Amnon Beniaminovitz
Laboratory Phone(212) 480-9500
Laboratory LocationVivify Medical PLLC125 Maiden Lane Rm 6B, New York, NY 10038
CLIA data matches this NPI record on: Address 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 Vivify Medical PLLC's NPI number?

The NPI number for Vivify Medical PLLC is 1639908973. It was assigned to this organization in the NPPES registry on July 26, 2024.

Where is Vivify Medical PLLC located?

Vivify Medical PLLC is located at 125 Maiden Ln Rm 6B, New York, NY 10038. The listed phone number is (718) 732-3634.

What is Vivify Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Vivify Medical PLLC enrolled in Medicare?

Yes. Vivify Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vivify Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Cardiovascular Disease (Cardiology)) reassigns their Medicare billing to Vivify Medical PLLC. 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 Vivify Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2311464) is associated with this NPI, valid through September 22, 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 Vivify Medical PLLC was last updated on January 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.