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MAMARONECK MEDICAL, PLLC
NPI 1992101984
Family Medicine in Mamaroneck, NY

Active since November 18, 2014CLIA 33D2086631 · Waiver
933 MAMARONECK AVE, SUITE 102, MAMARONECK, NY 10543(914) 523-1948 Get Directions Write a Review

NPPES record last updated: July 6, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mamaroneck Medical, Pllc NPPES

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

MAMARONECK MEDICAL, PLLC (NPI 1992101984) is a healthcare organization registered as a family medicine in Mamaroneck, New York and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through November 6, 2026 and lists Lili Kung, Physician, as its authorized official.

NPPES Registry Identity

NPI1992101984
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMAMARONECK MEDICAL, PLLC
Location Address933 MAMARONECK AVE, SUITE 102Mamaroneck, NY 10543-1662
Mailing AddressPo Box 204Mamaroneck, NY 10543-0204 · (914) 523-1948
Phone(914) 523-1948
Organization SubpartNo
Authorized OfficialLili KungPhysician · (914) 523-1948
Enumeration DateNovember 18, 2014
Last NPPES UpdateJuly 6, 2015
✔ NPI 1992101984 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 218148
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

933 MAMARONECK AVE, Mamaroneck, NY 10543
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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 SINGLE SPECIALTY GROUP

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 33D2086631

Mamaroneck Medical PLLC · Mamaroneck, NY
Active · expires Nov 6, 2026
CLIA Number33D2086631
Laboratory TypePhysician Office
Certificate Effective DateNovember 7, 2024
Certificate Expiration DateNovember 6, 2026
Laboratory DirectorDr. Lili Kung
Laboratory Phone(914) 630-1800
Laboratory LocationMamaroneck Medical PLLC933 Mamaroneck Avenue, Suite 102, Mamaroneck, NY 10543
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATRICIA L BESSONE PHYCISAL THERAPIST
Physical Therapist
933 MAMARONECK AVE, STE 202
MAMARONECK, NY 10543
Westchester County (914) 381-0077
DR. RICHARD CLARKE BUZIN D.M.D.
Dentist (General Practice)
933 MAMARONECK AVE, SUITE 101
MAMARONECK, NY 10543
Westchester County (914) 698-5228
DR. BRIAN DAVID FENGEL O.D.
Optometrist
933 MAMARONECK AVE, SUITE 105
MAMARONECK, NY 10543
Westchester County (914) 698-2182
DR. MARTIN H DIAMOND DMD
Dentist (Endodontics)
933 MAMARONECK AVE
MAMARONECK, NY 10543
Westchester County (914) 698-6811
LARCHMONT MAMARONECK EYE CARE GROUP
Optometrist
933 MAMARONECK AVE
MAMARONECK, NY 10543
Westchester County (914) 698-2182
WEILL MEDICAL COLLEGE OF CORNELL UNIVERSITY
Internal Medicine (Cardiovascular Disease)
933 MAMARONECK AVE
MAMARONECK, NY 10543
Westchester County (914) 698-2056
ALANA MILLINGS LMFT
Marriage & Family Therapist
933 MAMARONECK AVE, SUITE 202
MAMARONECK, NY 10543
Westchester County (347) 878-6170
MS. SERENA WOROGLIAN M.A.
Counselor (Mental Health)
933 MAMARONECK AVE, SUITE 202
MAMARONECK, NY 10543
Westchester County (917) 724-1881

Frequently Asked Questions

What is MAMARONECK MEDICAL, PLLC's NPI number?

The NPI number assigned to this healthcare provider is 1992101984, enumerated as an "organization" on November 18, 2014.

Where is the provider located?

The provider is located at 933 MAMARONECK AVE SUITE 102 MAMARONECK, NY 10543 and the phone number is (914) 523-1948.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.