PRIDE MEDICAL, PLLC
NPI 1922214600
Clinic/Center - Primary Care in New York, NY
About Pride Medical, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PRIDE MEDICAL, PLLC (NPI 1922214600) is a healthcare organization registered as a primary care in New York, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 5, 2027 and lists Punyadech Photangtham, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
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 33D1069476
Pride Medical PLLC · New York, NYOther Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pride Medical, PLLC's NPI number?
The NPI number for Pride Medical, PLLC is 1922214600. It was assigned to this organization in the NPPES registry on May 16, 2007.
Where is Pride Medical, PLLC located?
Pride Medical, PLLC is located at 3875 Broadway Unit B, New York, NY 10032. The listed phone number is (917) 656-2951.
What is Pride Medical, PLLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Pride Medical, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1069476) is associated with this NPI, valid through June 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Pride Medical, PLLC was last updated on November 23, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
