NEW YORK INSTITUTE OF TECHNOLOGY
NPI 1760003248
Family Medicine in Jonesboro, AR

Active since May 06, 2020CLIA 04D2173420 · Waiver
333B RED WOLF BLVD, JONESBORO, AR 72405(870) 972-2054(870) 972-2131 Get Directions Write a Review

NPPES record last updated: January 8, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 8, 2021, May 6, 2020 (2 updates tracked since 2020).

About New York Institute Of Technology NPPES

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

NEW YORK INSTITUTE OF TECHNOLOGY (NPI 1760003248) is a healthcare organization registered as a family medicine in Jonesboro, Arkansas and active in the NPI registry since May 2020. The organization holds a CLIA Waiver certificate valid through October 10, 2027 and lists Sharon K Zimmerman, Assistant Dean, as its authorized official.

NPPES Registry Identity

NPI1760003248
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEW YORK INSTITUTE OF TECHNOLOGY
Location Address333B RED WOLF BLVDJonesboro, AR 72405-9739
Mailing AddressPo Box 119State University, AR 72467-0119 · (516) 320-1466
Fax(870) 972-2131
Organization SubpartYes
Authorized OfficialSharon K ZimmermanAssistant Dean · (516) 320-1466
Enumeration DateMay 6, 2020
Last NPPES UpdateJanuary 8, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 8, 2021
✔ NPI 1760003248 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.
333B RED WOLF BLVD, Jonesboro, AR 72405

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New York Institute Of Technology is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to New York Institute Of Technology, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 6

Family Practice4
Pediatric Medicine3
Emergency Medicine1
Infectious Disease1
Obstetrics/Gynecology1
Preventive Medicine1

Clinicians, nearest first (11)

Family Practice
NPI 1366454209
225 E JACKSON AVE
Jonesboro, AR 72401
(870) 207-4423
✔ PECOS✔ Accepts Medicare2.1 mi
Pediatric Medicine
NPI 1538110978
800 S CHURCH ST STE 400
Jonesboro, AR 72401
(870) 935-6012
✔ PECOS2.3 mi
Pediatric Medicine
NPI 1831532837
800 S CHURCH ST STE 400
Jonesboro, AR 72401
(870) 935-6012
✔ PECOS2.3 mi
Obstetrics/Gynecology
NPI 1184885253
416 E WASHINGTON AVE
Jonesboro, AR 72401
(870) 333-5476
✔ PECOS✔ Accepts Medicare2.4 mi
Family Practice
NPI 1992785802
311 E MATTHEWS AVE
Jonesboro, AR 72401
(870) 972-0063
✔ PECOS✔ Accepts Medicare2.4 mi
Emergency Medicine
NPI 1982047379
1001 W PARKER RD
Jonesboro, AR 72404
(870) 972-8181
✔ PECOS4.2 mi
Infectious Disease
NPI 1295774388
2604 E MATTHEWS AVE
Jonesboro, AR 72401
(870) 932-5043
✔ PECOS4.4 mi
Pediatric Medicine
NPI 1275559924
51 N DUNLAP ST
Memphis, TN 38105
(901) 287-7337
✔ PECOS60 mi
Preventive Medicine
NPI 1366407439
NAVAL OPERATIONAL MEDICINE INSTITUTE 220 HOVEY RD
Pensacola, FL 32508
(850) 452-9484
✔ PECOS426 mi
Family Practice
NPI 1306339502
8455 FLYING CLOUD DR
Eden Prairie, MN 55344
(952) 993-7400
✔ PECOS✔ Accepts Medicare638 mi
Family Practice
NPI 1679707194
NORTHERN BOULEVARD
Old Westbury, NY 11568
(516) 686-1300
✔ PECOS✔ Accepts Medicare987 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 of Waiver 04D2173420

New York Institute Of Technology - Arkansas · Jonesboro, AR
Active · expires Oct 10, 2027
CLIA Number04D2173420
Laboratory TypeMobile Laboratory
Certificate Effective DateOctober 11, 2025
Certificate Expiration DateOctober 10, 2027
Laboratory DirectorBrookshield Laurent
Laboratory Phone(870) 680-8829
Laboratory LocationNew York Institute Of Technology - Arkansas2405 Aggie Road, Jonesboro, AR 72401
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only 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 New York Institute Of Technology's NPI number?

The NPI number for New York Institute Of Technology is 1760003248. It was assigned to this organization in the NPPES registry on May 6, 2020.

Where is New York Institute Of Technology located?

New York Institute Of Technology is located at 333B Red Wolf Blvd, Jonesboro, AR 72405. The listed phone number is (870) 972-2054.

What is New York Institute Of Technology's specialty?

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

Is New York Institute Of Technology enrolled in Medicare?

Yes. New York Institute Of Technology is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New York Institute Of Technology?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 6 Medicare specialties reassign their Medicare billing to New York Institute Of Technology. 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 Family Practice (4), Pediatric Medicine (3) and Emergency Medicine (1). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does New York Institute Of Technology hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 04D2173420) is associated with this NPI, valid through October 10, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does New York Institute Of Technology accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Sunflower Health Plan and 3 other insurers list New York Institute Of Technology as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for New York Institute Of Technology was last updated on January 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.