NEW YORK PHYSICIAN PLLC
NPI 1669804100
General Practice in New York, NY
About New York Physician Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK PHYSICIAN PLLC (NPI 1669804100) is a healthcare organization registered as a general practice in New York, New York and active in the NPI registry since August 2013. The organization lists Sekuleo Gathers, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
New York Physician Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to New York Physician PLLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
New York, NY 10118
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 New York Physician PLLC's NPI number?
The NPI number for New York Physician PLLC is 1669804100. It was assigned to this organization in the NPPES registry on August 7, 2013.
Where is New York Physician PLLC located?
New York Physician PLLC is located at 535 5th Ave Fl 4, New York, NY 10017. The listed phone number is (628) 260-5154.
What is New York Physician PLLC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is New York Physician PLLC enrolled in Medicare?
Yes. New York Physician PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New York Physician PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to New York Physician PLLC, in Emergency Medicine, Internal Medicine and Nurse Practitioner. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for New York Physician PLLC was last updated on July 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# New York Physician Pllc · NPI 1669804100
General Practice organization in New York, New York. Organization record, active in the CMS NPPES registry since August 7, 2013.
## Identity
- **NPI:** 1669804100 (Entity type: Organization)
- **Enumerated:** August 7, 2013
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Sekuleo Gathers, OWNER
## Practice location
- **Address:** 535 5TH AVE FL 4, New York, NY 10017-8020
- **Phone:** (628) 260-5154 · **Fax:** (855) 691-0403
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Emergency Medicine (1), Internal Medicine (1), Nurse Practitioner (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 15, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669804100) · Data from the CMS NPPES public registry.