PROMINIS MEDICAL SERVICES PC
NPI 1841323771
Internal Medicine in Brooklyn, NY

Active since March 13, 2007CLIA Certified · 15 labs
332 DEKALB AVE, BROOKLYN, NY 11205(718) 852-5252(718) 802-1113 Get Directions Write a Review

NPPES record last updated: December 3, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 3, 2025, Oct 10, 2025 (2 updates tracked since 2025).

About Prominis Medical Services Pc NPPES

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

PROMINIS MEDICAL SERVICES PC (NPI 1841323771) 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 15 active CLIA laboratory certificates, maintains 13 additional practice locations, and lists Andras Fenyves, Owner, as its authorized official.

NPPES Registry Identity

NPI1841323771
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NamePROMINIS MEDICAL SERVICES PC
Location Address332 DEKALB AVEBrooklyn, NY 11205-3820
Mailing Address381 5th StBrooklyn, NY 11215-2806 · (718) 852-5252 · Fax (718) 802-1113
Fax(718) 802-1113
Organization SubpartNo
Authorized OfficialAndras FenyvesOwner · (718) 852-5252
Enumeration DateMarch 13, 2007
Last NPPES UpdateDecember 3, 20252 updates tracked since enumeration
NPPES CertifiedDecember 3, 2025
✔ NPI 1841323771 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 · 232171
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.
332 DEKALB AVE, Brooklyn, NY 11205

Secondary Practice Locations 13

Location 113704 Guy R Brewer BlvdJamaica, NY 11434-3731 · Phone (718) 527-3404 · Fax (718) 802-1113
Location 26051 Fresh Pond RdMaspeth, NY 11378-3541 · Phone (718) 456-0960 · Fax (718) 802-1113
Location 337 5th AveBrooklyn, NY 11217-2025 · Phone (718) 802-1110 · Fax (718) 802-1113
Location 430 Saint James PlBrooklyn, NY 11205-5014 · Phone (718) 622-6025 · Fax (718) 802-1113
Location 5288 Sand LnStaten Island, NY 10305-4512 · Phone (718) 556-3377 · Fax (718) 802-1113
Location 6297 Marcus Garvey BlvdBrooklyn, NY 11221-1114 · Phone (718) 453-9377 · Fax (718) 802-1113
Location 76570 Myrtle AveGlendale, NY 11385-7067 · Phone (718) 366-5391 · Fax (718) 802-1113
Location 860 Plaza St EBrooklyn, NY 11238-5025 · Phone (718) 783-3919 · Fax (718) 802-1113
Location 9228 Bushwick Ave Ste 1ABrooklyn, NY 11206-2378 · Phone (718) 388-8400 · Fax (718) 802-1113
Location 106829 Myrtle AveGlendale, NY 11385-7234 · Phone (718) 821-4424 · Fax (718) 802-1113
Location 11130 Brighton Beach Ave Ste 3Brooklyn, NY 11235-8067 · Phone (718) 942-5385 · Fax (718) 802-1113
Location 1210837 71st Ave Unit Po2Forest Hills, NY 11375-4510 · Phone (718) 575-8787 · Fax (718) 802-1113
Location 13443 Linden BlvdBrooklyn, NY 11203-2821 · Phone (718) 669-7642 · Fax (718) 802-1113

Other Identifiers 2

Medicaid02617105NY
OtherDD0279NY · Railroad Medicare

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

71

Medicare enrollment records show 71 clinicians reassign Medicare billing to Prominis Medical Services PC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 53 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 16

Nurse Practitioner24
Internal Medicine23
Family Practice6
Cardiovascular Disease (Cardiology)3
Clinical Social Worker3
General Practice2
Diagnostic Radiology1
Gastroenterology1
8 other specialties8

Nearest to this location (20)

See all 71
Internal Medicine
NPI 1952467318
332 DEKALB AVE
Brooklyn, NY 11205
(718) 852-5252
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1821174632
332 DEKALB AVE
Brooklyn, NY 11205
(718) 852-5252
✔ PECOS✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1972688018
332 DEKALB AVE
Brooklyn, NY 11205
(718) 852-5252
✔ Accepts MedicareSame address
Cardiovascular Disease (Cardiology)
NPI 1710168901
240 WILLOUGHBY ST
Brooklyn, NY 11201
(718) 250-8866
✔ PECOS✔ Accepts Medicare0.7 mi
Nurse Practitioner
NPI 1477020600
37 5TH AVE
Brooklyn, NY 11217
(347) 560-8184
✔ PECOS0.8 mi
Family Practice
NPI 1619016011
60 PLAZA ST E 1-O
Brooklyn, NY 11238
(718) 783-3919
✔ PECOS1.1 mi
Family Practice
NPI 1477655017
60 PLAZA ST E
Brooklyn, NY 11238
(718) 783-3919
✔ PECOS✔ Accepts Medicare1.1 mi
Ophthalmology
NPI 1861686545
398 BRIDGE ST
Brooklyn, NY 11201
(718) 865-8159
✔ PECOS✔ Accepts Medicare1.1 mi
Internal Medicine
NPI 1184955270
297 MARCUS GARVEY BLVD
Brooklyn, NY 11221
(347) 844-0705
✔ PECOS✔ Accepts Medicare1.4 mi
Nurse Practitioner
NPI 1710351515
500 E 3RD ST
Brooklyn, NY 11218
(718) 871-6423
✔ PECOS✔ Accepts Medicare1.5 mi
Pediatric Medicine
NPI 1861606014
608 GRAND STREET
Brooklyn, NY 11211
(718) 388-8400
✔ PECOS✔ Accepts Medicare1.7 mi
Internal Medicine
NPI 1134784762
614A KOSCIUSZKO ST
Brooklyn, NY 11221
(718) 249-0735
✔ PECOS1.9 mi
Internal Medicine
NPI 1730114547
170 FROST ST
Brooklyn, NY 11211
(718) 388-6629
✔ PECOS✔ Accepts Medicare2.2 mi
Nurse Practitioner
NPI 1972943892
75 BROAD ST SUITE 0815
New York, NY 10004
(347) 761-3100
✔ PECOS2.7 mi
Clinical Social Worker
NPI 1518235589
57 SAINT MARKS PL
New York, NY 10003
(212) 982-3470
✔ PECOS✔ Accepts Medicare2.9 mi
Nurse Practitioner
NPI 1205348851
175 OCEAN PKWY
Brooklyn, NY 11218
(917) 589-9181
✔ PECOS3.0 mi
Nurse Practitioner
NPI 1285284992
3611 14TH AVE STE 550
Brooklyn, NY 11218
(718) 819-6144
✔ PECOS✔ Accepts Medicare3.5 mi
Nurse Practitioner
NPI 1417657867
6051 FRESH POND RD
Maspeth, NY 11378
(718) 456-0960
✔ PECOS3.8 mi
Internal Medicine
NPI 1669520334
1408 OCEAN AVENUE 2ND FLOOR
Brooklyn, NY 11230
(718) 677-7600
✔ PECOS4.3 mi
General Practice
NPI 1548553605
685 3RD AVE FL 7
New York, NY 10017
(855) 319-4448
✔ PECOS✔ Accepts Medicare4.3 mi
See all 71 clinicians

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 15

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 33D0710914

Prominis Medical Services PC · Brooklyn, NY
Active · expires Apr 7, 2028
CLIA Number33D0710914
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorDr. Andras Fenyves
Laboratory Phone(718) 783-3919
Laboratory LocationProminis Medical Services PC60 Plaza Street East Suite 10, Brooklyn, NY 11238
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2302240

Prominis Medical Services PC · Brooklyn, NY
Active · expires Apr 7, 2028
CLIA Number33D2302240
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorDr. Andras Fenyves
Laboratory Phone(718) 669-7642
Laboratory LocationProminis Medical Services PC443 Linden Boulevard, Brooklyn, NY 11203
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2074248

Prominis Medical Services, PC · Brooklyn, NY
Active · expires Mar 3, 2028
CLIA Number33D2074248
Laboratory TypePhysician Office
Certificate Effective DateMarch 4, 2026
Certificate Expiration DateMarch 3, 2028
Laboratory DirectorDr. Issa E. Jaradeh
Laboratory Phone(718) 453-9377
Laboratory LocationProminis Medical Services, PC297 Marcus Garvey Boulevard, Brooklyn, NY 11221
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2034660

Prominis Medical Services PC · Brooklyn, NY
Active · expires Sep 24, 2027
CLIA Number33D2034660
Laboratory TypePhysician Office
Certificate Effective DateSeptember 25, 2025
Certificate Expiration DateSeptember 24, 2027
Laboratory DirectorDr. Anahid J. Nisanian
Laboratory Phone(718) 852-5252
Laboratory LocationProminis Medical Services PC332 Dekalb Avenue, Brooklyn, NY 11205
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D1038847

Prominis Medical Services PC · Brooklyn, NY
Active · expires Mar 16, 2027
CLIA Number33D1038847
Laboratory TypePhysician Office
Certificate Effective DateMarch 17, 2025
Certificate Expiration DateMarch 16, 2027
Laboratory DirectorDr. Andras Fenyves
Laboratory Phone(718) 802-1110
Laboratory LocationProminis Medical Services PC37 5th Avenue, Brooklyn, NY 11217
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D1060602

Prominis Medical Services PC · Staten Island, NY
Active · expires Oct 26, 2026
CLIA Number33D1060602
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorDr. Vladimir Volokh
Laboratory Phone(718) 556-3377
Laboratory LocationProminis Medical Services PC288 Sand Lane, Staten Island, NY 10305
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prominis Medical Services PC's NPI number?

The NPI number for Prominis Medical Services PC is 1841323771. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Prominis Medical Services PC located?

Prominis Medical Services PC is located at 332 Dekalb Ave, Brooklyn, NY 11205. The listed phone number is (718) 852-5252.

What is Prominis Medical Services PC's specialty?

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

Is Prominis Medical Services PC enrolled in Medicare?

Yes. Prominis Medical Services PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prominis Medical Services PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 71 clinicians in 16 Medicare specialties reassign their Medicare billing to Prominis Medical 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 (24), Internal Medicine (23) and Family Practice (6). Of these, 3 practice at this address and 53 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prominis Medical Services PC hold CLIA laboratory certificates?

Yes. 15 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Prominis Medical Services PC was last updated on December 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.