WELLPOINT FAMILY MEDICAL,PC
NPI 1790803252
Family Medicine in Rego Park, NY

Active since March 26, 2007
9952 66TH RD LBBY D, REGO PARK, NY 11374(718) 997-9055(718) 997-9060 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Wellpoint Family Medical,pc NPPES

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

WELLPOINT FAMILY MEDICAL,PC (NPI 1790803252) is a healthcare organization registered as a family medicine in Rego Park, New York and active in the NPI registry since March 2007. The organization lists Nina Zilberman, President, as its authorized official.

NPPES Registry Identity

NPI1790803252
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWELLPOINT FAMILY MEDICAL,PC
Location Address9952 66TH RD LBBY DRego Park, NY 11374-4461
Mailing Address9952 66th Rd Lbby DRego Park, NY 11374-4461 · (718) 997-9055 · Fax (718) 997-9060
Fax(718) 997-9060
Organization SubpartNo
Authorized OfficialNina ZilbermanPresident · (718) 997-9055
Enumeration DateMarch 26, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1790803252 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.
9952 66TH RD LBBY D, Rego Park, NY 11374

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

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)

Wellpoint Family Medical,pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20100809000618Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wellpoint Family Medical,pc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1265541015
336 E 86TH ST
New York, NY 10028
(212) 772-3627
✔ PECOS✔ Accepts Medicare6.1 mi

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 Wellpoint Family Medical,pc's NPI number?

The NPI number for Wellpoint Family Medical,pc is 1790803252. It was assigned to this organization in the NPPES registry on March 26, 2007.

Where is Wellpoint Family Medical,pc located?

Wellpoint Family Medical,pc is located at 9952 66th Rd Lbby D, Rego Park, NY 11374. The listed phone number is (718) 997-9055.

What is Wellpoint Family Medical,pc's specialty?

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

Is Wellpoint Family Medical,pc enrolled in Medicare?

Yes. Wellpoint Family Medical,pc is registered in the Medicare PECOS enrollment system.

When is Wellpoint Family Medical,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 November 30, 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 Wellpoint Family Medical,pc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wellpoint Family Medical,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.

When was this NPI record last updated?

The NPPES record for Wellpoint Family Medical,pc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.