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MODERN FAMILY MEDICINE PC
NPI 1861890493
Clinic/Center - Primary Care in Babylon, NY

Active since December 13, 2014
258 W MAIN ST, BABYLON, NY 11702(631) 517-9170(631) 517-9113 Get Directions Write a Review

NPPES record last updated: February 11, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Modern Family Medicine Pc NPPES

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

MODERN FAMILY MEDICINE PC (NPI 1861890493) is a healthcare organization registered as a primary care in Babylon, New York and active in the NPI registry since December 2014. The organization lists Marina Andrianova, Physician, as its authorized official.

NPPES Registry Identity

NPI1861890493
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMODERN FAMILY MEDICINE PC
Location Address258 W MAIN STBabylon, NY 11702-3443
Mailing Address258 W Main StBabylon, NY 11702-3443 · (631) 517-9170 · Fax (631) 517-9113
Phone(631) 517-9170
Fax(631) 517-9113
Organization SubpartNo
Authorized OfficialMarina AndrianovaPhysician · (516) 512-9435
Enumeration DateDecember 13, 2014
Last NPPES UpdateFebruary 11, 2015
✔ NPI 1861890493 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in NY · 272088
258 W MAIN ST, Babylon, NY 11702
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Modern Family Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Modern Family Medicine PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Marina Andrianova, MD
Family Practice
NPI 1508184029
258 W MAIN ST
Babylon, NY 11702
(631) 517-9170
✔ PECOS✔ Accepts MedicareSame address
Alexandre Andrianov, MD
Internal Medicine
NPI 1467441774
400 W MAIN ST STE 350
Babylon, NY 11702
(631) 517-9170
✔ PECOS✔ Accepts Medicare0.3 mi

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 Modern Family Medicine PC's NPI number?

The NPI number for Modern Family Medicine PC is 1861890493. It was assigned to this organization in the NPPES registry on December 13, 2014.

Where is Modern Family Medicine PC located?

Modern Family Medicine PC is located at 258 W Main St, Babylon, NY 11702. The listed phone number is (631) 517-9170.

What is Modern Family Medicine PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Modern Family Medicine PC enrolled in Medicare?

Yes. Modern Family Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Modern Family Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Modern Family Medicine PC, in Family Practice and Internal Medicine. 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, 1 practice at this address and 2 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 Modern Family Medicine PC was last updated on February 11, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.