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GROUPO MEDICO DOMINICANO PLLC
NPI 1679646061
Internal Medicine - Interventional Cardiology in New York, NY

Active since November 16, 2006CLIA 33D1050895 · Waiver
629 W 185TH ST, NEW YORK, NY 10033(212) 928-3900(212) 795-0470 Get Directions Write a Review

NPPES record last updated: February 25, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Groupo Medico Dominicano Pllc NPPES

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

GROUPO MEDICO DOMINICANO PLLC (NPI 1679646061) is a healthcare organization registered as an interventional cardiology in New York, New York and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through February 14, 2028 and lists Fernando Taveras, Member, as its authorized official.

NPPES Registry Identity

NPI1679646061
Entity TypeOrganization
Primary Taxonomy207RI0011X
Legal Business NameGROUPO MEDICO DOMINICANO PLLC
Location Address629 W 185TH STNew York, NY 10033-3102
Mailing Address629 W 185th StNew York, NY 10033-3102 · (212) 928-3900 · Fax (212) 795-0470
Phone(212) 928-3900
Fax(212) 795-0470
Organization SubpartNo
Authorized OfficialFernando TaverasMember · (212) 928-3900
Enumeration DateNovember 16, 2006
Last NPPES UpdateFebruary 25, 2010
✔ NPI 1679646061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Definition
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.
629 W 185TH ST, New York, NY 10033
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Other Identifiers 2

Medicare PINWWQ661NY
Medicaid03178503NY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 33D1050895

Groupo Medico Dominicano · New York, NY
Active · expires Feb 14, 2028
CLIA Number33D1050895
Laboratory TypePhysician Office
Certificate Effective DateFebruary 15, 2026
Certificate Expiration DateFebruary 14, 2028
Laboratory DirectorDr. Martha M. Valdivia
Laboratory Phone(212) 928-3900
Laboratory LocationGroupo Medico Dominicano629 West 185th Street, New York, NY 10033
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 20

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

ROGERS DE JESUS ECHAVARRIA UCETA
Physician Assistant
629 W 185TH ST
NEW YORK, NY 10033
New York County (212) 781-9223
MARTHA MARIA VALDIVIA MD
Internal Medicine
629 W 185TH ST
NEW YORK, NY 10033
New York County (212) 928-3900
FDLC PEDIATRICS MEDICINE.PLLC
Pediatrics (Adolescent Medicine)
629 W 185TH ST
NEW YORK, NY 10033
New York County (212) 928-5468
JOSE A DEL PILAR PHD
Psychologist (Clinical)
629 W 185TH ST
NEW YORK, NY 10033
New York County (212) 928-3900
DR. FERNANDO TAVERAS MD
Psychiatry & Neurology (Psychiatry)
629 W 185TH ST, SUITE 3
NEW YORK, NY 10033
New York County (212) 543-3500
IVELISSE JULIANA CAPELLAN NP
Nurse Practitioner (Psychiatric/Mental Health)
629 W 185TH ST
NEW YORK, NY 10033
New York County (212) 543-3500
EVELYN R. TEJEDA, D.M.D P.C
Dentist (Pediatric Dentistry)
629 W 185TH ST, 4TH FLOOR
NEW YORK, NY 10033
New York County (212) 568-0558
JUAN YAMIN MD PC
Specialist
629 W 185TH ST, BSMT
NEW YORK, NY 10033
New York County (212) 781-1900

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 Groupo Medico Dominicano PLLC's NPI number?

The NPI number for Groupo Medico Dominicano PLLC is 1679646061. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Groupo Medico Dominicano PLLC located?

Groupo Medico Dominicano PLLC is located at 629 W 185th St, New York, NY 10033. The listed phone number is (212) 928-3900.

What is Groupo Medico Dominicano PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Does Groupo Medico Dominicano PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1050895) is associated with this NPI, valid through February 14, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Groupo Medico Dominicano PLLC was last updated on February 25, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.