JERICHO MEDICAL PRACTICE PLLC
NPI 1982305579
Urology in Rockville Centre, NY
About Jericho Medical Practice Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JERICHO MEDICAL PRACTICE PLLC (NPI 1982305579) is a healthcare organization registered as an urology in Rockville Centre, New York and active in the NPI registry since March 2023. The organization lists Abul Kashem, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jericho Medical Practice Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Jericho Medical Practice PLLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (4)
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 Jericho Medical Practice PLLC's NPI number?
The NPI number for Jericho Medical Practice PLLC is 1982305579. It was assigned to this organization in the NPPES registry on March 13, 2023.
Where is Jericho Medical Practice PLLC located?
Jericho Medical Practice PLLC is located at 178 Sunrise Hwy # 184, Rockville Centre, NY 11570. The listed phone number is (877) 977-1705.
What is Jericho Medical Practice PLLC's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Jericho Medical Practice PLLC enrolled in Medicare?
Yes. Jericho Medical Practice PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Jericho Medical Practice PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Jericho Medical Practice PLLC, in Anesthesiology, Gastroenterology, Obstetrics/Gynecology and Urology. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Jericho Medical Practice PLLC was last updated on March 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Jericho Medical Practice Pllc · NPI 1982305579
Urology organization in Rockville Centre, New York. Organization record, active in the CMS NPPES registry since March 13, 2023.
## Identity
- **NPI:** 1982305579 (Entity type: Organization)
- **Enumerated:** March 13, 2023
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Abul Kashem, OWNER
## Practice location
- **Address:** 178 SUNRISE HWY # 184, Rockville Centre, NY 11570-4704
- **Phone:** (877) 977-1705
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (1), Gastroenterology (1), Obstetrics/Gynecology (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 13, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1982305579) · Data from the CMS NPPES public registry.