VILLAGE FAMILY PRACTICE, PC
NPI 1902048911
Family Medicine in New York, NY

Active since April 06, 2009
30 5TH AVE, NEW YORK, NY 10011(212) 477-1750 Get Directions Write a Review

NPPES record last updated: April 22, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Village Family Practice, Pc NPPES

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

VILLAGE FAMILY PRACTICE, PC (NPI 1902048911) is a healthcare organization registered as a family medicine in New York, New York and active in the NPI registry since April 2009. The organization lists Jerry Clements, President, as its authorized official.

NPPES Registry Identity

NPI1902048911
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVILLAGE FAMILY PRACTICE, PC
Location Address30 5TH AVENew York, NY 10011-8859
Mailing Address30 5th AveNew York, NY 10011-8859 · (212) 477-1750
Organization SubpartNo
Authorized OfficialJerry ClementsPresident · (212) 477-1750
Enumeration DateApril 6, 2009
Last NPPES UpdateApril 22, 2010
NPI 1902048911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 166889
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

30 5TH AVE, New York, NY 10011

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, SUITE 1J.K.
NEW YORK, NY 10011
Psychologist
30 5TH AVE
NEW YORK, NY 10011
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, APT 1K
NEW YORK, NY 10011
Clinic/Center (Primary Care)
30 5TH AVE, 1E
NEW YORK, NY 10011
Psychologist (Clinical)
30 5TH AVE
NEW YORK, NY 10011
Specialist
30 5TH AVE, 1E
NEW YORK, NY 10011
Family Medicine
30 5TH AVE, 1E
NEW YORK, NY 10011
Dentist (Orthodontics and Dentofacial Orthopedics)
30 5TH AVE, SUITE 1J.K.
NEW YORK, NY 10011

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 Village Family Practice, PC's NPI number?

The NPI number for Village Family Practice, PC is 1902048911. It was assigned to this organization in the NPPES registry on April 6, 2009.

Where is Village Family Practice, PC located?

Village Family Practice, PC is located at 30 5th Ave, New York, NY 10011. The listed phone number is (212) 477-1750.

What is Village Family Practice, PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Village Family Practice, PC was last updated on April 22, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.