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NEW WINDSOR FAMILY CARE LLC
NPI 1669192712
Clinic/Center in Newburgh, NY

Active since August 30, 2022CLIA 33D2311992 · Waiver
377 BROADWAY, NEWBURGH, NY 12550(845) 562-2191 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 23, 2023, Aug 30, 2022 (2 updates tracked since 2022).

About New Windsor Family Care Llc NPPES

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

NEW WINDSOR FAMILY CARE LLC (NPI 1669192712) is a healthcare organization registered as a clinic/center in Newburgh, New York and active in the NPI registry since August 2022. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Minoo Pedeom-shapiro, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1669192712
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameNEW WINDSOR FAMILY CARE LLC
Location Address377 BROADWAYNewburgh, NY 12550-5301
Mailing Address377 BroadwayNewburgh, NY 12550-5301 · (845) 562-2191
Phone(845) 562-2191
Organization SubpartNo
Authorized OfficialMinoo Pedeom-shapiroAuthorized Official · (845) 562-2191
Enumeration DateAugust 30, 2022
Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1669192712 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Also ListedFamily MedicineTaxonomy 207Q00000X
377 BROADWAY, Newburgh, NY 12550
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 33D2311992

New Windsor Family Care · Newburgh, NY
Active · expires Mar 26, 2027
CLIA Number33D2311992
Laboratory TypePhysician Office
Certificate Effective DateOctober 2, 2024
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Ariel Y. Pedoeem
Laboratory Phone(845) 562-2191
Laboratory LocationNew Windsor Family Care377 Broadway, Newburgh, NY 12550
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

THERALINK OF NEW YORK INC.
Clinic/Center (Rehabilitation)
377 BROADWAY
NEWBURGH, NY 12550
Orange County (845) 562-1790
ANDRES JOAQUIN GRECO MD
Pediatrics
377 BROADWAY
NEWBURGH, NY 12550
Orange County (845) 562-2291
ANDY MEJIA
Social Worker
377 BROADWAY
NEWBURGH, NY 12550
Orange County (845) 505-7242

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 New Windsor Family Care LLC's NPI number?

The NPI number for New Windsor Family Care LLC is 1669192712. It was assigned to this organization in the NPPES registry on August 30, 2022.

Where is New Windsor Family Care LLC located?

New Windsor Family Care LLC is located at 377 Broadway, Newburgh, NY 12550. The listed phone number is (845) 562-2191.

What is New Windsor Family Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does New Windsor Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2311992) 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 New Windsor Family Care LLC was last updated on January 23, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.