FULTON MEDICAL, P.C.
NPI 1841635133
Internal Medicine in Massapequa, NY
About Fulton Medical, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FULTON MEDICAL, P.C. (NPI 1841635133) is a healthcare organization registered as an internal medicine in Massapequa, New York and active in the NPI registry since May 2013. The organization lists Grigoriy Krichmar, Owner, 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)
Fulton Medical, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
37Medicare enrollment records show 37 clinicians reassign Medicare billing to Fulton Medical, P.C., which bills Medicare for the services they deliver. Of these, 20 practice 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 37Source: 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 Fulton Medical, P.C.'s NPI number?
The NPI number for Fulton Medical, P.C. is 1841635133. It was assigned to this organization in the NPPES registry on May 1, 2013.
Where is Fulton Medical, P.C. located?
Fulton Medical, P.C. is located at 200 Boundary Ave Ste. 200, Massapequa, NY 11758. The listed phone number is (631) 271-9151.
What is Fulton Medical, P.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Fulton Medical, P.C. enrolled in Medicare?
Yes. Fulton Medical, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Fulton Medical, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 37 clinicians in 3 Medicare specialties reassign their Medicare billing to Fulton 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 Nurse Practitioner (33), Internal Medicine (3) and Clinical Social Worker (1). Of these, 20 practice 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 Fulton Medical, P.C. was last updated on May 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Fulton Medical, P.c. · NPI 1841635133
Internal Medicine organization in Massapequa, New York. Organization record, active in the CMS NPPES registry since May 1, 2013.
## Identity
- **NPI:** 1841635133 (Entity type: Organization)
- **Enumerated:** May 1, 2013
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Grigoriy Krichmar, OWNER
## Practice location
- **Address:** 200 BOUNDARY AVE, STE. 200, Massapequa, NY 11758-1152
- **Phone:** (631) 271-9151
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 37 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (33), Internal Medicine (3), Clinical Social Worker (1); 20 practice within 10 miles; [full list](https://npiprofile.com/npi/1841635133/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 1, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1841635133) · Data from the CMS NPPES public registry.