IMPACT CARE PHYSICIAN FL PA
NPI 1992655070
Family Medicine in North Miami, FL

Active since January 29, 2026
390 NE 135TH ST, NORTH MIAMI, FL 33161(212) 734-6621 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 24, 2026, Jan 29, 2026 (2 updates tracked since 2026).

About Impact Care Physician Fl Pa NPPES

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

IMPACT CARE PHYSICIAN FL PA (NPI 1992655070) is a healthcare organization registered as a family medicine in North Miami, Florida and active in the NPI registry since January 2026. The organization lists Eli Wercberger, Officer, as its authorized official.

NPPES Registry Identity

NPI1992655070
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameIMPACT CARE PHYSICIAN FL PA
Location Address390 NE 135TH STNorth Miami, FL 33161-3967
Mailing Address250 Skillman St Ste 202Brooklyn, NY 11205-1218
Organization SubpartNo
Authorized OfficialEli WercbergerOfficer · (917) 627-2130
Enumeration DateJanuary 29, 2026
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1992655070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
390 NE 135TH ST, North Miami, FL 33161

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)

Impact Care Physician Fl Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Impact Care Physician Fl PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1023679974
29 E 29TH ST
Bayonne, NJ 07002
(212) 734-6621
✔ PECOS1,076 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 Impact Care Physician Fl PA's NPI number?

The NPI number for Impact Care Physician Fl PA is 1992655070. It was assigned to this organization in the NPPES registry on January 29, 2026.

Where is Impact Care Physician Fl PA located?

Impact Care Physician Fl PA is located at 390 NE 135th St, North Miami, FL 33161. The listed phone number is (212) 734-6621.

What is Impact Care Physician Fl PA's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Impact Care Physician Fl PA enrolled in Medicare?

Yes. Impact Care Physician Fl PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Care Physician Fl PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Impact Care Physician Fl PA. 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 Impact Care Physician Fl PA was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.