NYMC - SCHOOL OF MEDICINE FACULTY PRACTICE CORPORATION
NPI 1689239105
Family Medicine in Hawthorne, NY

Active since May 09, 2019CLIA 33D2170942 · Microscopy
19 SKYLINE DR, HAWTHORNE, NY 10532(914) 828-0435(914) 594-2261 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 23, 2026, May 9, 2019 (2 updates tracked since 2019).

About Nymc - School Of Medicine Faculty Practice Corporation NPPES

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

NYMC - SCHOOL OF MEDICINE FACULTY PRACTICE CORPORATION (NPI 1689239105) is a healthcare organization registered as a family medicine in Hawthorne, New York and active in the NPI registry since May 2019. The organization holds a CLIA Microscopy certificate valid through March 26, 2027 and lists Edward Halperin, Chancellor/ceo, as its authorized official.

NPPES Registry Identity

NPI1689239105
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNYMC - SCHOOL OF MEDICINE FACULTY PRACTICE CORPORATION
Location Address19 SKYLINE DRHawthorne, NY 10532-2134
Mailing Address40 Sunshine Cottage RdValhalla, NY 10595-1524 · (914) 594-2260 · Fax (914) 594-2261
Fax(914) 594-2261
Organization SubpartNo
Authorized OfficialEdward HalperinChancellor/ceo · (914) 594-4900
Enumeration DateMay 9, 2019
Last NPPES UpdateMarch 23, 20262 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
✔ NPI 1689239105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
19 SKYLINE DR, Hawthorne, NY 10532

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nymc - School Of Medicine Faculty Practice Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Nymc - School Of Medicine Faculty Practice Corporation, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1336501329
19 SKYLINE DR
Hawthorne, NY 10532
(914) 828-0435
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1982679353
688 WHITE PLAINS RD SUITE 225
Scarsdale, NY 10583
(914) 574-4375
✔ PECOS✔ Accepts Medicare8.0 mi
Family Practice
NPI 1235578303
28 EAST AVE
New Canaan, CT 06840
(203) 855-3757
✔ PECOS✔ Accepts Medicare18 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 for Provider-Performed Microscopy Procedures (PPMP) 33D2170942

Nymc School Of Medicine Faculty Practice Corporation · Hawthorne, NY
Active · expires Mar 26, 2027
CLIA Number33D2170942
Laboratory TypePhysician Office
Certificate Effective DateAugust 22, 2019
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Lori Solomon
Laboratory Phone(914) 594-2260
Laboratory LocationNymc School Of Medicine Faculty Practice Corporation19 Skyline Dr, Hawthorne, NY 10532
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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 Nymc - School Of Medicine Faculty Practice Corporation's NPI number?

The NPI number for Nymc - School Of Medicine Faculty Practice Corporation is 1689239105. It was assigned to this organization in the NPPES registry on May 9, 2019.

Where is Nymc - School Of Medicine Faculty Practice Corporation located?

Nymc - School Of Medicine Faculty Practice Corporation is located at 19 Skyline Dr, Hawthorne, NY 10532. The listed phone number is (914) 828-0435.

What is Nymc - School Of Medicine Faculty Practice Corporation's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nymc - School Of Medicine Faculty Practice Corporation enrolled in Medicare?

Yes. Nymc - School Of Medicine Faculty Practice Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Nymc - School Of Medicine Faculty Practice Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Nymc - School Of Medicine Faculty Practice Corporation, in Family Practice and Internal Medicine. 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Nymc - School Of Medicine Faculty Practice Corporation hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 33D2170942) 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 Nymc - School Of Medicine Faculty Practice Corporation was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.