URBAN FAMILY DOCTOR, PLLC
NPI 1710535836
Family Medicine in Brooklyn, NY

Active since September 02, 2019CLIA 33D2171779 · Waiver
185 OCEAN AVE # 1A, BROOKLYN, NY 11225(347) 669-0017(347) 669-0016 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 9, 2025, Dec 26, 2019, Sep 2, 2019 (3 updates tracked since 2019).

About Urban Family Doctor, Pllc NPPES

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

URBAN FAMILY DOCTOR, PLLC (NPI 1710535836) is a healthcare organization registered as a family medicine in Brooklyn, New York and active in the NPI registry since September 2019. The organization holds a CLIA Waiver certificate valid through September 9, 2027 and lists Amanda Harris, Sole Owner, as its authorized official.

NPPES Registry Identity

NPI1710535836
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameURBAN FAMILY DOCTOR, PLLC
Location Address185 OCEAN AVE # 1ABrooklyn, NY 11225-4763
Mailing Address185 Ocean Ave # 1aBrooklyn, NY 11225-4763 · (347) 669-0017
Fax(347) 669-0016
Organization SubpartNo
Authorized OfficialAmanda HarrisSole Owner · (347) 669-0017
Enumeration DateSeptember 2, 2019
Last NPPES UpdateMay 9, 20253 updates tracked since enumeration
NPPES CertifiedMay 9, 2025
NPI 1710535836 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.
185 OCEAN AVE # 1A, Brooklyn, NY 11225

Other Identifiers 1

Medicaid04658779NY

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 33D2171779

Urban Family Doctor, PLLC · Brooklyn, NY
Active · expires Sep 9, 2027
CLIA Number33D2171779
Laboratory TypePhysician Office
Certificate Effective DateSeptember 10, 2025
Certificate Expiration DateSeptember 9, 2027
Laboratory DirectorDr. Amanda L. Harris
Laboratory Phone(347) 669-0017
Laboratory LocationUrban Family Doctor, PLLC185 Ocean Avenue - #1a, Brooklyn, NY 11225
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
185 OCEAN AVE # 1A
BROOKLYN, NY 11225

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 Urban Family Doctor, PLLC's NPI number?

The NPI number for Urban Family Doctor, PLLC is 1710535836. It was assigned to this organization in the NPPES registry on September 2, 2019.

Where is Urban Family Doctor, PLLC located?

Urban Family Doctor, PLLC is located at 185 Ocean Ave # 1A, Brooklyn, NY 11225. The listed phone number is (347) 669-0017.

What is Urban Family Doctor, PLLC's specialty?

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

Does Urban Family Doctor, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2171779) is associated with this NPI, valid through September 9, 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 Urban Family Doctor, PLLC was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.