RD MEDICAL PROFESSIONAL SERVICES PC
NPI 1811643166
Family Medicine in Staten Island, NY
About Rd Medical Professional Services Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RD MEDICAL PROFESSIONAL SERVICES PC (NPI 1811643166) is a healthcare organization registered as a family medicine in Staten Island, New York and active in the NPI registry since February 2022. The organization lists Camila Mendez, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
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)
Rd Medical Professional Services Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
77Medicare enrollment records show 77 clinicians reassign Medicare billing to Rd Medical Professional Services PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 6 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 3
Nearest to this location (20)
See all 77Staten Island, NY 10314
New York, NY 10021
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 Rd Medical Professional Services PC's NPI number?
The NPI number for Rd Medical Professional Services PC is 1811643166. It was assigned to this organization in the NPPES registry on February 25, 2022.
Where is Rd Medical Professional Services PC located?
Rd Medical Professional Services PC is located at 260 Christopher Ln Ste 102A, Staten Island, NY 10314. The listed phone number is (914) 295-9323.
What is Rd Medical Professional Services PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Rd Medical Professional Services PC enrolled in Medicare?
Yes. Rd Medical Professional Services PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Rd Medical Professional Services PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 77 clinicians in 3 Medicare specialties reassign their Medicare billing to Rd Medical Professional Services 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. The largest specialties are Nurse Practitioner (75), Internal Medicine (1) and Osteopathic Manipulative Medicine (1). Of these, 1 practice at this address and 6 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Rd Medical Professional Services PC was last updated on January 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Rd Medical Professional Services Pc · NPI 1811643166
Family Medicine organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since February 25, 2022.
## Identity
- **NPI:** 1811643166 (Entity type: Organization)
- **Enumerated:** February 25, 2022
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Camila Mendez, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 260 CHRISTOPHER LN STE 102A, Staten Island, NY 10314-1631
- **Phone:** (914) 295-9323 · **Fax:** (315) 612-9793
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 77 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (75), Internal Medicine (1), Osteopathic Manipulative Medicine (1); 1 practice at this address and 6 within 10 miles; [full list](https://npiprofile.com/npi/1811643166/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 2, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1811643166) · Data from the CMS NPPES public registry.