BETHANY MEDICAL CLINIC OF NEW YORK, PLLC
NPI 1902173313
Internal Medicine in New York, NY
About Bethany Medical Clinic Of New York, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BETHANY MEDICAL CLINIC OF NEW YORK, PLLC (NPI 1902173313) is a healthcare organization registered as an internal medicine in New York, New York and active in the NPI registry since November 2011. The organization holds a CLIA Waiver certificate valid through July 19, 2028 and lists Shirin Peters, 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)
Bethany Medical Clinic Of New York, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
12Medicare enrollment records show 12 clinicians reassign Medicare billing to Bethany Medical Clinic Of New York, PLLC, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 7 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 6
Clinicians, nearest first (12)
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 33D2044313
Bethany Medical Clinic Of New York, PLLC · New York, 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 Bethany Medical Clinic Of New York, PLLC's NPI number?
The NPI number for Bethany Medical Clinic Of New York, PLLC is 1902173313. It was assigned to this organization in the NPPES registry on November 30, 2011.
Where is Bethany Medical Clinic Of New York, PLLC located?
Bethany Medical Clinic Of New York, PLLC is located at 222 E 31st St Suite 1R, New York, NY 10016. The listed phone number is (646) 509-0943.
What is Bethany Medical Clinic Of New York, PLLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Bethany Medical Clinic Of New York, PLLC enrolled in Medicare?
Yes. Bethany Medical Clinic Of New York, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Bethany Medical Clinic Of New York, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 12 clinicians in 6 Medicare specialties reassign their Medicare billing to Bethany Medical Clinic Of New York, 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 Internal Medicine (4), Dermatology (2) and Family Practice (2). Of these, 4 practice at this address and 7 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Bethany Medical Clinic Of New York, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2044313) is associated with this NPI, valid through July 19, 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 Bethany Medical Clinic Of New York, PLLC was last updated on August 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.
# Bethany Medical Clinic Of New York, Pllc · NPI 1902173313
Internal Medicine organization in New York, New York. Organization record, active in the CMS NPPES registry since November 30, 2011.
## Identity
- **NPI:** 1902173313 (Entity type: Organization)
- **Enumerated:** November 30, 2011
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Shirin Peters, OWNER
## Practice location
- **Address:** 222 E 31ST ST, SUITE 1R, New York, NY 10016-6333
- **Phone:** (646) 509-0943
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 12 clinicians in 6 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (4), Dermatology (2), Family Practice (2); 4 practice at this address and 7 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2013
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1902173313) · Data from the CMS NPPES public registry.