210 MJD MEDICAL, PLLC
NPI 1750712220
Clinic/Center - Multi-Specialty in Far Rockaway, NY
About 210 Mjd Medical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
210 MJD MEDICAL, PLLC (NPI 1750712220), doing business as Silver Star Urgent Care, is a healthcare organization registered as a multi-specialty in Far Rockaway, New York and active in the NPI registry since December 2013. The organization lists Dinesh Verma, Delegated Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 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)
210 Mjd Medical, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
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
11Medicare enrollment records show 11 clinicians reassign Medicare billing to 210 Mjd Medical, PLLC, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (11)
Glen Cove, NY 11542
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 33D2155349
210 Mjd Medical PLLC Dba Silver Star Urgent Care · Far Rockaway, 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 210 Mjd Medical, PLLC's NPI number?
The NPI number for 210 Mjd Medical, PLLC is 1750712220. It was assigned to this organization in the NPPES registry on December 9, 2013. The provider is doing business as Silver star urgent care.
Where is 210 Mjd Medical, PLLC located?
210 Mjd Medical, PLLC is located at 228 Beach 20th St, Far Rockaway, NY 11691. The listed phone number is (917) 847-4980.
What is 210 Mjd Medical, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.
Is 210 Mjd Medical, PLLC enrolled in Medicare?
Yes. 210 Mjd Medical, PLLC is registered in the Medicare PECOS enrollment system.
When is 210 Mjd Medical, PLLC'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 December 31, 2026. 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 210 Mjd Medical, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 3 Medicare specialties reassign their Medicare billing to 210 Mjd Medical, PLLC. 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. The largest specialties are Nurse Practitioner (9), Emergency Medicine (1) and Family Practice (1). Of these, 5 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 210 Mjd Medical, PLLC was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# 210 Mjd Medical, Pllc · NPI 1750712220
Multi-Specialty organization in Far Rockaway, New York. Organization record, active in the CMS NPPES registry since December 9, 2013.
## Identity
- **NPI:** 1750712220 (Entity type: Organization)
- **Enumerated:** December 9, 2013
- **Primary specialty:** Clinic/Center - Multi-Specialty · taxonomy 261QM1300X
- **Also known as:** Silver star urgent care (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Dinesh Verma, DELEGATED OFFICIAL
## Practice location
- **Address:** 228 BEACH 20TH ST, Far Rockaway, NY 11691-3618
- **Phone:** (917) 847-4980 · **Fax:** (833) 424-4357
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 11 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Emergency Medicine (1), Family Practice (1); 5 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 2, 2025
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1750712220) · Data from the CMS NPPES public registry.