VILLAGE PARK MEDICAL, PC
NPI 1902961097
Internal Medicine - Infectious Disease in New York, NY
About Village Park Medical, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VILLAGE PARK MEDICAL, PC (NPI 1902961097) is a healthcare organization registered as an infectious disease in New York, New York and active in the NPI registry since December 2006. The organization lists William Mandell, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Village Park Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
10Medicare enrollment records show 10 clinicians reassign Medicare billing to Village Park Medical, PC, which bills Medicare for the services they deliver. Of these, 7 practice at this address and 10 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (10)
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 Village Park Medical, PC's NPI number?
The NPI number for Village Park Medical, PC is 1902961097. It was assigned to this organization in the NPPES registry on December 27, 2006.
Where is Village Park Medical, PC located?
Village Park Medical, PC is located at 31 Washington Sq W 4th Floor, New York, NY 10011. The listed phone number is (212) 477-8833.
What is Village Park Medical, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.
Is Village Park Medical, PC enrolled in Medicare?
Yes. Village Park Medical, PC is registered in the Medicare PECOS enrollment system.
When is Village Park Medical, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Village Park Medical, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 10 clinicians in 3 Medicare specialties reassign their Medicare billing to Village Park Medical, PC. 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 Infectious Disease (4), Nurse Practitioner (4) and Internal Medicine (2). Of these, 7 practice at this address and 10 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 Village Park Medical, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Village Park Medical, Pc · NPI 1902961097
Infectious Disease organization in New York, New York. Organization record, active in the CMS NPPES registry since December 27, 2006.
## Identity
- **NPI:** 1902961097 (Entity type: Organization)
- **Enumerated:** December 27, 2006
- **Primary specialty:** Internal Medicine - Infectious Disease · taxonomy 207RI0200X
- **Organization subpart:** No
- **Authorized official:** William Mandell, PRESIDENT
## Practice location
- **Address:** 31 WASHINGTON SQ W, 4TH FLOOR, New York, NY 10011-9126
- **Phone:** (212) 477-8833 · **Fax:** (212) 982-1880
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 10 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Infectious Disease (4), Nurse Practitioner (4), Internal Medicine (2); 7 practice at this address and 10 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
---
Source: [NPI Profile](https://npiprofile.com/npi/1902961097) · Data from the CMS NPPES public registry.