MEDINA COMMUNITY CLINIC INC
NPI 1750101309
Family Medicine in Trenton, NJ
About Medina Community Clinic Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDINA COMMUNITY CLINIC INC (NPI 1750101309), doing business as Medina Health Center, is a healthcare organization registered as a family medicine in Trenton, New Jersey and active in the NPI registry since October 2024. The organization lists Mira Sadeghi, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medina Community Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Medina Community Clinic Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
West Trenton, NJ 08628
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Medina Community Clinic Inc's NPI number?
The NPI number for Medina Community Clinic Inc is 1750101309. It was assigned to this organization in the NPPES registry on October 16, 2024. The provider is doing business as Medina Health Center.
Where is Medina Community Clinic Inc located?
Medina Community Clinic Inc is located at 828 N Olden Ave Ste 2, Trenton, NJ 08638. The listed phone number is (609) 323-5159.
What is Medina Community Clinic Inc's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Medina Community Clinic Inc enrolled in Medicare?
Yes. Medina Community Clinic Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Medina Community Clinic Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Medina Community Clinic Inc, in Nurse Practitioner and Psychiatry. 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 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Medina Community Clinic Inc was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Medina Community Clinic Inc · NPI 1750101309
Family Medicine organization in Trenton, New Jersey. Organization record, active in the CMS NPPES registry since October 16, 2024.
## Identity
- **NPI:** 1750101309 (Entity type: Organization)
- **Enumerated:** October 16, 2024
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Medina Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Mira Sadeghi, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 828 N OLDEN AVE STE 2, Trenton, NJ 08638-4902
- **Phone:** (609) 323-5159
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Psychiatry (1); 1 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 16, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1750101309) · Data from the CMS NPPES public registry.