ACADEMY MEDICAL CARE PC
NPI 1790809184
Internal Medicine in New York, NY

Active since March 19, 2007
571 ACADEMY ST, GLE, NEW YORK, NY 10034(212) 567-0550(212) 567-6474 Get Directions Write a Review

NPPES record last updated: May 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Academy Medical Care Pc NPPES

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

ACADEMY MEDICAL CARE PC (NPI 1790809184) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since March 2007. The organization lists Ramon Tallaj, Physician, as its authorized official.

NPPES Registry Identity

NPI1790809184
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameACADEMY MEDICAL CARE PC
Location Address571 ACADEMY ST, GLENew York, NY 10034-5104
Mailing Address571 Academy St, GleNew York, NY 10034-5104 · (212) 567-0550 · Fax (212) 567-6474
Fax(212) 567-6474
Organization SubpartNo
Authorized OfficialRamon TallajPhysician · (212) 567-0550
Enumeration DateMarch 19, 2007
Last NPPES UpdateMay 14, 2012
✔ NPI 1790809184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 204704-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
571 ACADEMY ST, New York, NY 10034

Other Identifiers 1

Medicare PINWGW091

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Academy Medical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Academy Medical Care PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1124186309
571 ACADEMY ST APT GLE
New York, NY 10034
(212) 567-0550
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1487753497
571 ACADEMY STREET
New York, NY 10034
(212) 567-0550
✔ PECOSSame address
Internal Medicine
NPI 1194891101
571 ACADEMY ST APT GLE
New York, NY 10034
(212) 567-0550
✔ PECOS✔ Accepts MedicareSame address

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 Academy Medical Care PC's NPI number?

The NPI number for Academy Medical Care PC is 1790809184. It was assigned to this organization in the NPPES registry on March 19, 2007.

Where is Academy Medical Care PC located?

Academy Medical Care PC is located at 571 Academy St Gle, New York, NY 10034. The listed phone number is (212) 567-0550.

What is Academy Medical Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Academy Medical Care PC enrolled in Medicare?

Yes. Academy Medical Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Academy Medical Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Internal Medicine, reassign their Medicare billing to Academy Medical Care 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Academy Medical Care PC was last updated on May 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.