123 MEDICAL GROUP, P.C.
NPI 1952745291
Specialist in New York, NY

Active since April 17, 2013
286 FORT WASHINGTON AVE, SUITE# 1G, NEW YORK, NY 10032(212) 543-1800 Get Directions Write a Review

NPPES record last updated: April 17, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About 123 Medical Group, P.c. NPPES

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

123 MEDICAL GROUP, P.C. (NPI 1952745291) is a healthcare organization registered as a specialist in New York, New York and active in the NPI registry since April 2013. The organization lists Alcibiades Rodriguez, President, as its authorized official.

NPPES Registry Identity

NPI1952745291
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business Name123 MEDICAL GROUP, P.C.
Location Address286 FORT WASHINGTON AVE, SUITE# 1GNew York, NY 10032-1315
Mailing Address286 Fort Washington Ave, Suite# 1gNew York, NY 10032-1315 · (212) 543-1800
Organization SubpartNo
Authorized OfficialAlcibiades RodriguezPresident · (212) 543-1800
Enumeration DateApril 17, 2013
✔ NPI 1952745291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
286 FORT WASHINGTON AVE, New York, NY 10032

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

123 Medical Group, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to 123 Medical Group, P.C., which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Neurology
NPI 1831151281
223 E 34TH ST
New York, NY 10016
(646) 558-0800
✔ PECOS✔ Accepts Medicare7.1 mi
Pediatric Medicine
NPI 1528649159
34 MAPLE ST
Norwalk, CT 06850
(203) 852-2000
✔ PECOS✔ Accepts Medicare33 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 123 Medical Group, P.C.'s NPI number?

The NPI number for 123 Medical Group, P.C. is 1952745291. It was assigned to this organization in the NPPES registry on April 17, 2013.

Where is 123 Medical Group, P.C. located?

123 Medical Group, P.C. is located at 286 Fort Washington Ave Suite# 1G, New York, NY 10032. The listed phone number is (212) 543-1800.

What is 123 Medical Group, P.C.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is 123 Medical Group, P.C. enrolled in Medicare?

Yes. 123 Medical Group, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through 123 Medical Group, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to 123 Medical Group, P.C., in Neurology and Pediatric Medicine. 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 123 Medical Group, P.C. was last updated on April 17, 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.