BORO PARK MEDICAL P.C.
NPI 1790815736
Internal Medicine in Brooklyn, NY
About Boro Park Medical P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BORO PARK MEDICAL P.C. (NPI 1790815736) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since March 2007. The organization holds a CLIA Certificate of Compliance certificate valid through March 23, 2028 and lists Josif Sholomon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 5
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Boro Park Medical P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
9Medicare enrollment records show 9 clinicians reassign Medicare billing to Boro Park Medical P.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (9)
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 Compliance 33D0714560
Boro Park Medical PC A & S Medical · Brooklyn, 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 Boro Park Medical P.C.'s NPI number?
The NPI number for Boro Park Medical P.C. is 1790815736. It was assigned to this organization in the NPPES registry on March 7, 2007.
Where is Boro Park Medical P.C. located?
Boro Park Medical P.C. is located at 1379 54th St, Brooklyn, NY 11219. The listed phone number is (718) 436-1600.
What is Boro Park Medical P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Boro Park Medical P.C. enrolled in Medicare?
Yes. Boro Park Medical P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Boro Park Medical P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians in 3 Medicare specialties reassign their Medicare billing to Boro Park Medical P.C.. 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 Diagnostic Radiology (4), Internal Medicine (4) and Cardiovascular Disease (Cardiology) (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Boro Park Medical P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D0714560) is associated with this NPI, valid through March 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Boro Park Medical P.C. was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Boro Park Medical P.c. · NPI 1790815736
Internal Medicine organization in Brooklyn, New York. Organization record, active in the CMS NPPES registry since March 7, 2007.
## Identity
- **NPI:** 1790815736 (Entity type: Organization)
- **Enumerated:** March 7, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Josif Sholomon, OWNER
## Practice location
- **Address:** 1379 54TH ST, Brooklyn, NY 11219-4259
- **Phone:** (718) 436-1600 · **Fax:** (718) 436-2085
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 9 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (4), Internal Medicine (4), Cardiovascular Disease (Cardiology) (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 24, 2010
- **Other identifiers:** Medicare NSC 4836970001 (NY); Medicaid 02559608 (NY); Medicare PIN W34701 (NY); and 2 more
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790815736) · Data from the CMS NPPES public registry.