EMERSON MEDICAL PLLC
NPI 1972723427
Internal Medicine in Staten Island, NY

Active since April 26, 2007CLIA 33D1024225 · Waiver
11 RALPH PLACE, SUITE 305, STATEN ISLAND, NY 10304(718) 448-3800(718) 448-2003 Get Directions Write a Review

NPPES record last updated: February 25, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Emerson Medical Pllc NPPES

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

EMERSON MEDICAL PLLC (NPI 1972723427) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 5, 2028 and lists Natalya Chalik, Vp, as its authorized official.

NPPES Registry Identity

NPI1972723427
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEMERSON MEDICAL PLLC
Location Address11 RALPH PLACE, SUITE 305Staten Island, NY 10304
Mailing Address11 Ralph Place, Suite 305Staten Island, NY 10304 · (718) 448-3800 · Fax (718) 448-2003
Fax(718) 448-2003
Organization SubpartNo
Authorized OfficialNatalya ChalikVp · (718) 448-3800
Enumeration DateApril 26, 2007
Last NPPES UpdateFebruary 25, 2014
✔ NPI 1972723427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 229483✔ Licensed in NJ · 25MA07633200
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.
11 RALPH PLACE, Staten Island, NY 10304

Other Identifiers 4

Medicare ID-Type Unspecified209AMI
OtherP2995181Oxford
Medicaid02530716NY
Medicare UPINI03208

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 MULTIPLE 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)

Emerson Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Emerson Medical PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Internal Medicine
NPI 1780745299
11 RALPH PLACE SUITE 305 EMERSON MEDICAL
Staten Island, NY 10304
(718) 448-3800
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1770563538
21406 16TH AVE
Bayside, NY 11360
(718) 224-3734
✔ PECOS✔ Accepts Medicare21 mi
Diagnostic Radiology
NPI 1881785939
1 COOPER PLZ
Camden, NJ 08103
(888) 499-8779
✔ PECOS✔ Accepts Medicare71 mi

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

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 33D1024225

Emerson Medical PLLC · Staten Island, NY
Active · expires Apr 5, 2028
CLIA Number33D1024225
Laboratory TypePhysician Office
Certificate Effective DateApril 6, 2026
Certificate Expiration DateApril 5, 2028
Laboratory DirectorNatalya M. Chalik
Laboratory Phone(718) 448-3800
Laboratory LocationEmerson Medical PLLC11 Ralph Place, Suite 305, Staten Island, NY 10304
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Emerson Medical PLLC's NPI number?

The NPI number for Emerson Medical PLLC is 1972723427. It was assigned to this organization in the NPPES registry on April 26, 2007.

Where is Emerson Medical PLLC located?

Emerson Medical PLLC is located at 11 Ralph Place Suite 305, Staten Island, NY 10304. The listed phone number is (718) 448-3800.

What is Emerson Medical PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Emerson Medical PLLC enrolled in Medicare?

Yes. Emerson Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Emerson Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Emerson Medical PLLC, in Diagnostic Radiology and Internal 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 at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Emerson Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1024225) is associated with this NPI, valid through April 5, 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 Emerson Medical PLLC was last updated on February 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.