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84 STREET MEDICAL PC
NPI 1780093153
Obstetrics & Gynecology in Jackson Heights, NY

Active since August 10, 2014CLIA 33D2083061 · Waiver
3559 84TH ST, JACKSON HEIGHTS, NY 11372(718) 507-0300(718) 507-0330 Get Directions Write a Review

NPPES record last updated: August 10, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About 84 Street Medical Pc NPPES

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

84 STREET MEDICAL PC (NPI 1780093153) is a healthcare organization registered as an obstetrics & gynecology in Jackson Heights, New York and active in the NPI registry since August 2014. The organization holds a CLIA Waiver certificate valid through August 26, 2026 and lists Lucot Cherenfant, Doctor, as its authorized official.

NPPES Registry Identity

NPI1780093153
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business Name84 STREET MEDICAL PC
Location Address3559 84TH STJackson Heights, NY 11372-5367
Mailing Address1324 E 53rd StBrooklyn, NY 11234-2312 · (917) 331-8817 · Fax (718) 507-0330
Phone(718) 507-0300
Fax(718) 507-0330
Organization SubpartNo
Authorized OfficialLucot CherenfantDoctor · (718) 507-0300
Enumeration DateAugust 10, 2014
✔ NPI 1780093153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NY · 244586
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
3559 84TH ST, Jackson Heights, NY 11372
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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 33D2083061

84 Street Medical PC · Jackson Heights, NY
Active · expires Aug 26, 2026
CLIA Number33D2083061
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2024
Certificate Expiration DateAugust 26, 2026
Laboratory DirectorDr. Lucot Cherenfant
Laboratory Phone(718) 507-0300
Laboratory Location84 Street Medical PC35-59 84th Street, Jackson Heights, NY 11372
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.

DR. LUCOT CHERENFANT MD
Obstetrics & Gynecology
3559 84TH ST
JACKSON HEIGHTS, NY 11372
Queens County (917) 410-6905

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 84 Street Medical PC's NPI number?

The NPI number for 84 Street Medical PC is 1780093153. It was assigned to this organization in the NPPES registry on August 10, 2014.

Where is 84 Street Medical PC located?

84 Street Medical PC is located at 3559 84th St, Jackson Heights, NY 11372. The listed phone number is (718) 507-0300.

What is 84 Street Medical PC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does 84 Street Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2083061) is associated with this NPI, valid through August 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for 84 Street Medical PC was last updated on August 10, 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.