GROUPO MEDICO DOMINICANO PLLC
NPI 1679646061
Internal Medicine - Interventional Cardiology in New York, NY
- Organization
- Internal Medicine
- Interventional Cardiology
- CLIA Number: 33D1050895
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 02-14-2028
About GROUPO MEDICO DOMINICANO PLLC
This page provides the complete NPI Profile along with additional information for Groupo Medico Dominicano Pllc, an internist established in New York, New York operating as a Internal Medicine, focusing in interventional cardiology . The healthcare provider is registered in the NPI registry with number 1679646061 assigned on November 2006. The practitioner's primary taxonomy code is 207RI0011X. The provider is registered as an organization and their NPI record was last updated 16 years ago. Groupo Medico Dominicano Pllc 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 Fernando Taveras M.d (Member)
- NPI
- 1679646061 Verify this NPI
- Provider Name
- GROUPO MEDICO DOMINICANO PLLC
- Entity Type
- Organization
- Location Address
- 629 W 185TH ST NEW YORK, NY 10033
- Location Phone
- (212) 928-3900
- Location Fax
- (212) 795-0470
- Mailing Address
- 629 W 185TH ST NEW YORK, NY 10033
- Mailing Phone
- (212) 928-3900
- Mailing Fax
- (212) 795-0470
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 11-16-2006
- Last Update Date
- 02-25-2010
- Code Navigator
An internist like Groupo Medico Dominicano Pllc 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
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 Interventional Cardiology
- Taxonomy Code
- 207RI0011X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
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 |
|---|---|---|---|
| WWQ661 | MEDICARE PIN (08) | NY | |
| 03178503 | 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
- 33D1050895
- Facility Type
- Physician Office
- Certificate Effective Date
- February 15, 2026
- Certificate Expiration Date
- February 14, 2028
- Laboratory Director
- DR. MARTHA M. VALDIVIA
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Groupo Medico Dominicano Pllc 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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Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW YORK, NY 10033
NEW YORK, NY 10033
NEW YORK, NY 10033
NEW YORK, NY 10033
NEW YORK, NY 10033
NEW YORK, NY 10033
NEW YORK, NY 10033
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1679646061, enumerated as an "organization" on November 16, 2006.
The provider is located at 629 W 185TH ST NEW YORK, NY 10033 and the phone number is (212) 928-3900.
Internal Medicine with taxonomy code 207RI0011X and a focus in Interventional Cardiology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
