CCN GENERAL MEDICINE PLLC
NPI 1902120025
Clinic/Center - Primary Care in Bronx, NY
About Ccn General Medicine Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CCN GENERAL MEDICINE PLLC (NPI 1902120025) is a healthcare organization registered as a primary care in Bronx, New York and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through July 6, 2028 and lists Hector D Reyes, Adm, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
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)
Ccn General Medicine Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
16Medicare enrollment records show 16 clinicians reassign Medicare billing to Ccn General Medicine PLLC, which bills Medicare for the services they deliver. Of these, 6 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (16)
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 33D2009552
Ccn General Medicine PLLC · Bronx, 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 Ccn General Medicine PLLC's NPI number?
The NPI number for Ccn General Medicine PLLC is 1902120025. It was assigned to this organization in the NPPES registry on March 18, 2010.
Where is Ccn General Medicine PLLC located?
Ccn General Medicine PLLC is located at 1262 Boston Rd Suite 2, Bronx, NY 10456. The listed phone number is (718) 569-7929.
What is Ccn General Medicine PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Ccn General Medicine PLLC enrolled in Medicare?
Yes. Ccn General Medicine PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ccn General Medicine PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians in 4 Medicare specialties reassign their Medicare billing to Ccn General Medicine PLLC. 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 (9), Family Practice (3) and Internal Medicine (3). Of these, 6 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Ccn General Medicine PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2009552) is associated with this NPI, valid through July 6, 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 Ccn General Medicine PLLC was last updated on March 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ccn General Medicine Pllc · NPI 1902120025
Primary Care organization in Bronx, New York. Organization record, active in the CMS NPPES registry since March 18, 2010.
## Identity
- **NPI:** 1902120025 (Entity type: Organization)
- **Enumerated:** March 18, 2010
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Hector Reyes, ADM
## Practice location
- **Address:** 1262 BOSTON RD, SUITE 2, Bronx, NY 10456-3602
- **Phone:** (718) 569-7929 · **Fax:** (347) 590-5482
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 16 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Family Practice (3), Internal Medicine (3); 6 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 23, 2026
- **Other identifiers:** Medicaid 02932589 (NY); Other 1427118140 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902120025) · Data from the CMS NPPES public registry.