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BETHANY MEDICAL CLINIC OF NEW YORK, PLLC
NPI 1902173313
Internal Medicine in New York, NY

Active since November 30, 2011CLIA 33D2044313 · Waiver
222 E 31ST ST, SUITE 1R, NEW YORK, NY 10016(646) 509-0943 Get Directions Write a Review

NPPES record last updated: August 1, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1902173313
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBETHANY MEDICAL CLINIC OF NEW YORK, PLLC
Location Address222 E 31ST ST, SUITE 1RNew York, NY 10016-6333
Mailing Address222 E 31st St, Suite 1rNew York, NY 10016-6333 · (646) 509-0943
Phone(646) 509-0943
Organization SubpartNo
Authorized OfficialShirin PetersOwner · (336) 880-5915
Enumeration DateNovember 30, 2011
Last NPPES UpdateAugust 1, 2013
✔ NPI 1902173313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 262706-1
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
222 E 31ST ST, New York, NY 10016
Open in Google Maps ↗

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

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, NY
Active · expires Jul 19, 2028
CLIA Number33D2044313
Laboratory TypePhysician Office
Certificate Effective DateJuly 20, 2026
Certificate Expiration DateJuly 19, 2028
Laboratory DirectorDr. Shirin S. Peters
Laboratory Phone(646) 509-0943
Laboratory LocationBethany Medical Clinic Of New York, PLLC222 East 31st Street, Suite 1 R, New York, NY 10016
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

JOCELYNN FAITH DILLON PA-C
Physician Assistant (Medical)
222 E 31ST ST, FLOORS 1,2,B
NEW YORK CITY, NY 10016
New York County (315) 201-0621
DR. RICHARD N MURPHY D.C.
Chiropractor
222 E 31ST ST, SUITE 1R
NEW YORK, NY 10016
New York County (845) 401-6373
RUTH KASTALSKY
Internal Medicine
222 E 31ST ST
NEW YORK, NY 10016
New York County (315) 201-0621
PETERS MEDICAL CARE PLLC
Internal Medicine
222 E 31ST ST, GROUND FLOOR
NEW YORK, NY 10016
New York County (336) 880-5915
DR. SHIRIN PETERS M.D.
Internal Medicine
222 E 31ST ST, 1R
NEW YORK, NY 10016
New York County (646) 509-0943
ALLISON KATE GREEN
Social Worker
222 E 31ST ST
NEW YORK, NY 10016
New York County (315) 201-0621

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 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.

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.