OCEAN PARKWAY FAMILY PRACTICE ASSOCIATES PC
NPI 1730458720
Specialist in Brooklyn, NY
About Ocean Parkway Family Practice Associates Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OCEAN PARKWAY FAMILY PRACTICE ASSOCIATES PC (NPI 1730458720) is a healthcare organization registered as a specialist in Brooklyn, New York and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Tarek Hegazi, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ocean Parkway Family Practice Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Ocean Parkway Family Practice Associates PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 of Waiver 33D2156826
Ocean Parkway Family Practice Assoc · Brooklyn, NYFrequently 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 Ocean Parkway Family Practice Associates PC's NPI number?
The NPI number for Ocean Parkway Family Practice Associates PC is 1730458720. It was assigned to this organization in the NPPES registry on December 20, 2011.
Where is Ocean Parkway Family Practice Associates PC located?
Ocean Parkway Family Practice Associates PC is located at 514 Avenue M, Brooklyn, NY 11230. The listed phone number is (718) 339-5749.
What is Ocean Parkway Family Practice Associates PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Ocean Parkway Family Practice Associates PC enrolled in Medicare?
Yes. Ocean Parkway Family Practice Associates PC is registered in the Medicare PECOS enrollment system.
When is Ocean Parkway Family Practice Associates PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Ocean Parkway Family Practice Associates PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Ocean Parkway Family Practice Associates PC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ocean Parkway Family Practice Associates PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2156826) 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 Ocean Parkway Family Practice Associates PC was last updated on January 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Ocean Parkway Family Practice Associates Pc · NPI 1730458720
Specialist organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since December 20, 2011.
## Identity
- **NPI:** 1730458720 (Entity type: Organization)
- **Enumerated:** December 20, 2011
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Tarek Hegazi, OWNER
## Practice location
- **Address:** 514 AVENUE M, Brooklyn, NY 11230-4648
- **Phone:** (718) 339-5749
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2014
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1730458720) · Data from the CMS NPPES public registry.