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VICTORY MEDICAL ASSOCIATES PC
NPI 1902460124
Internal Medicine - Cardiovascular Disease in New York, NY

Active since April 23, 2019
129 CENTRAL PARK N, NEW YORK, NY 10026(914) 331-0820(888) 443-9088 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 12, 2022, Feb 4, 2020, Apr 23, 2019 (3 updates tracked since 2019).

About Victory Medical Associates Pc NPPES

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

VICTORY MEDICAL ASSOCIATES PC (NPI 1902460124) is a healthcare organization registered as a cardiovascular disease in New York, New York and active in the NPI registry since April 2019. The organization lists Yaakov Grun, Manager, as its authorized official.

NPPES Registry Identity

NPI1902460124
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameVICTORY MEDICAL ASSOCIATES PC
Location Address129 CENTRAL PARK NNew York, NY 10026-4201
Mailing Address129 Central Park NNew York, NY 10026-4201 · (914) 331-0820 · Fax (888) 443-9088
Phone(914) 331-0820
Fax(888) 443-9088
Organization SubpartNo
Authorized OfficialYaakov GrunManager · (845) 395-4071
Enumeration DateApril 23, 2019
Last NPPES UpdateAugust 12, 20223 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1902460124 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
129 CENTRAL PARK N, New York, NY 10026
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Victory Medical Associates Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Victory Medical Associates PC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

David Mobley, M.D.
Interventional Radiology
NPI 1457632580
1 GUSTAVE L LEVY PL # 1234
New York, NY 10029
(212) 241-1497
✔ PECOS✔ Accepts Medicare0.7 mi
Michael Velez
Nurse Practitioner
NPI 1851284186
4802 10TH AVE
Brooklyn, NY 11219
(631) 327-3782
✔ PECOS✔ Accepts Medicare11 mi
Daniel Novick, M.D.
Diagnostic Radiology
NPI 1265829527
2361 NOSTRAND AVE
Brooklyn, NY 11210
(516) 862-4900
✔ PECOS✔ Accepts Medicare12 mi
Nirav Patel, DO
Vascular Surgery
NPI 1992951925
984 N BROADWAY SUITE 501
Yonkers, NY 10701
(914) 965-2606
✔ PECOS✔ Accepts Medicare12 mi
Jay Lachman, NP
Nurse Practitioner
NPI 1437760972
377 BUCKINGHAM RD
Cedarhurst, NY 11516
(516) 660-6057
✔ PECOS✔ Accepts Medicare17 mi
Richard Daniels, MD
Interventional Radiology
NPI 1417905043
54 BEY LEA RD SUITE 1
Toms River, NJ 08753
(732) 616-1801
✔ PECOS✔ Accepts Medicare57 mi
Sarah Kantharia, M.D.
Diagnostic Radiology
NPI 1881039253
2150 PENNSYLVANIA AVE NW
Washington, DC 20037
(202) 741-3000
✔ PECOS✔ Accepts Medicare210 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Victory Medical Associates PC's NPI number?

The NPI number for Victory Medical Associates PC is 1902460124. It was assigned to this organization in the NPPES registry on April 23, 2019.

Where is Victory Medical Associates PC located?

Victory Medical Associates PC is located at 129 Central Park N, New York, NY 10026. The listed phone number is (914) 331-0820.

What is Victory Medical Associates PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Victory Medical Associates PC enrolled in Medicare?

Yes. Victory Medical Associates PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Victory Medical Associates PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians reassign their Medicare billing to Victory Medical Associates PC, in Diagnostic Radiology, Interventional Radiology, Nurse Practitioner and Vascular Surgery. 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, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Victory Medical Associates PC was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.