KENSINGTON PEDIATRICS, PC
NPI 1659346682
Legal Medicine in Brooklyn, NY
About Kensington Pediatrics, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENSINGTON PEDIATRICS, PC (NPI 1659346682) is a healthcare organization registered as a legal medicine in Brooklyn, New York and active in the NPI registry since February 2006. The organization holds a CLIA Certificate of Compliance certificate valid through December 25, 2026 and lists Max Bulmash, Director Officer, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
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)
Kensington Pediatrics, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Kensington Pediatrics, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
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 Compliance 33D0164502
Kensington Pediatrics PC · Brooklyn, 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 Kensington Pediatrics, PC's NPI number?
The NPI number for Kensington Pediatrics, PC is 1659346682. It was assigned to this organization in the NPPES registry on February 22, 2006.
Where is Kensington Pediatrics, PC located?
Kensington Pediatrics, PC is located at 3904 16th Ave, Brooklyn, NY 11218. The listed phone number is (718) 435-1449.
What is Kensington Pediatrics, PC's specialty?
The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.
Is Kensington Pediatrics, PC enrolled in Medicare?
Yes. Kensington Pediatrics, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kensington Pediatrics, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Pediatric Medicine, reassign their Medicare billing to Kensington Pediatrics, 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kensington Pediatrics, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D0164502) is associated with this NPI, valid through December 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kensington Pediatrics, PC was last updated on August 13, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Kensington Pediatrics, Pc · NPI 1659346682
Legal Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since February 22, 2006.
## Identity
- **NPI:** 1659346682 (Entity type: Organization)
- **Enumerated:** February 22, 2006
- **Primary specialty:** Legal Medicine · taxonomy 173000000X
- **Organization subpart:** No
- **Authorized official:** Max Bulmash, DIRECTOR OFFICER
## Practice location
- **Address:** 3904 16TH AVE, Brooklyn, NY 11218-5500
- **Phone:** (718) 435-1449
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians (Pediatric Medicine) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 13, 2019
- **Other identifiers:** Medicaid 00787302 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1659346682) · Data from the CMS NPPES public registry.