WYCKOFF PROFESSIONAL MEDICAL SERVICES, PC
NPI 1659710796
Internal Medicine in Brooklyn, NY
NPI Status: Active since June 21, 2013
Contact Information
374 STOCKHOLM ST
BROOKLYN, NY
ZIP 11237
Phone: (718) 963-6485
Fax: (718) 963-6793
- Organization
- Internal Medicine
- CLIA Number: 33D0688985
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 03-26-2027
About WYCKOFF PROFESSIONAL MEDICAL SERVICES, PC
This page provides the complete NPI Profile along with additional information for Wyckoff Professional Medical Services, Pc, an internist established in Brooklyn, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1659710796 assigned on June 2013. The practitioner's primary taxonomy code is 207R00000X. The provider is registered as an organization and their NPI record was last updated one year ago. Wyckoff Professional Medical Services, Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Ms. Vali Gache (Cfo)
- NPI
- 1659710796
- Provider Name
- WYCKOFF PROFESSIONAL MEDICAL SERVICES, PC
- Entity Type
- Organization
- Location Address
- 374 STOCKHOLM ST BROOKLYN, NY 11237
- Location Phone
- (718) 963-6485
- Location Fax
- (718) 963-6793
- Mailing Address
- 374 STOCKHOLM ST BROOKLYN, NY 11237
- Mailing Phone
- (718) 963-6485
- Mailing Fax
- (718) 963-6793
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-21-2013
- Last Update Date
- 11-29-2025
- Code Navigator
An internist like Wyckoff Professional Medical Services, Pc is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Secondary Locations
- 7554 Metropolitan Ave
Middle Village, NY 11379
(718) 894-4200 - 1419 Myrtle Ave
Brooklyn, NY 11237
(718) 963-7676 - 1411 Myrtle Ave
Brooklyn, NY 11237
(718) 963-7676 - 1610 Dekalb Ave
Brooklyn, NY 11237
(718) 963-7676 - 110 Wyckoff Ave
Brooklyn, NY 11237
(718) 963-7676
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207N00000X | Allopathic & Osteopathic Physicians | Dermatology | |
| 2 | 207RC0000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 207RE0101X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 4 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 5 | 207RH0003X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 6 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 7 | 207RN0300X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 8 | 207RP1001X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 9 | 207RR0500X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 10 | 207V00000X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | |
| 11 | 207ZP0102X | Allopathic & Osteopathic Physicians | Pathology | |
| 12 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 13 | 2080N0001X | Allopathic & Osteopathic Physicians | Pediatrics | |
| 14 | 208600000X | Allopathic & Osteopathic Physicians | Surgery |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 03722025 | MEDICAID (05) | NY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D0688985
- Facility Type
- Physician Office
- Certificate Effective Date
- July 21, 2017
- Certificate Expiration Date
- March 26, 2027
- Laboratory Director
- DR. GENNADIY KVETNYY
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Wyckoff Professional Medical Services, Pc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1659710796, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 64. The final step is to find the difference between that total and the next multiple of ten (70 - 64 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 64 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
BROOKLYN, NY 11237
BROOKLYN, NY 11237
BROOKLYN, NY 11237
BROOKLYN, NY 11237
BROOKLYN, NY 11237
BROOKLYN, NY 11237
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1659710796, enumerated as an "organization" on June 21, 2013.
The provider is located at 374 STOCKHOLM ST BROOKLYN, NY 11237 and the phone number is (718) 963-6485.
Internal Medicine with taxonomy code 207R00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
