9317 MEDICAL OFFICE PC
NPI 1871707372
Internal Medicine in Jackson Heights, NY
About 9317 Medical Office Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
9317 MEDICAL OFFICE PC (NPI 1871707372) is a healthcare organization registered as an internal medicine in Jackson Heights, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 22, 2028, maintains a secondary practice location in Miami, and lists Sandra J Marrero, Office Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
9317 Medical Office Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by February 28, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to 9317 Medical Office PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
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 Waiver 33D0973890
9317 Medical Office PC · Elmhurst, 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 9317 Medical Office PC's NPI number?
The NPI number for 9317 Medical Office PC is 1871707372. It was assigned to this organization in the NPPES registry on May 10, 2007.
Where is 9317 Medical Office PC located?
9317 Medical Office PC is located at 9317 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (718) 446-0270.
What is 9317 Medical Office PC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is 9317 Medical Office PC enrolled in Medicare?
Yes. 9317 Medical Office PC is registered in the Medicare PECOS enrollment system.
When is 9317 Medical Office PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through 9317 Medical Office PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to 9317 Medical Office PC, in Internal Medicine, Nurse Practitioner and Pediatric 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, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does 9317 Medical Office PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0973890) is associated with this NPI, valid through May 22, 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 9317 Medical Office PC was last updated on June 21, 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.
# 9317 Medical Office Pc · NPI 1871707372
Internal Medicine organization in Jackson Heights, New York. Organization record, active in the CMS NPPES registry since May 10, 2007.
## Identity
- **NPI:** 1871707372 (Entity type: Organization)
- **Enumerated:** May 10, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Sandra Marrero, OFFICE MANAGER
## Practice location
- **Address:** 9317 ROOSEVELT AVE, Jackson Heights, NY 11372-7943
- **Phone:** (718) 446-0270 · **Fax:** (718) 446-5939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** February 28, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 3 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1), Pediatric Medicine (1); 2 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 21, 2024
- **Other identifiers:** Medicaid 01748636 (NY); Medicaid 121841700 (FL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1871707372) · Data from the CMS NPPES public registry.