NYU School of Medicine Professional Services – Internal Medicine Physician, NPI 1285826438
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NYU School of Medicine Professional Services
3301 QUANTUM BLVD
BOYNTON BEACH, FL 334268668
Phone: (877) 648-2964
Type: Location
111, Broadway Avenue, Suffolk County, New York, 11782, United States
2ND FL
NEW YORK, NY 100061901
Phone: (877) 648-2964
Type: Location
111 Broadway
2nd Fl
New York, NY 100061901
Phone: (877) 648-2964
Type: Location
PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States
BOSTON, MA 022415662
Phone: (877) 648-2964
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2026-02-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (981 days ago).
Enrollment records
27
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20081202000185 | O | Clinic/Group Practice | NY | TBD |
| O20090822000026 | O | Clinic/Group Practice | NY | TBD |
| O20171010001595 | O | Physician - General Practice | NY | 2023-09-30 |
| O20180118002059 | O | Clinic/Group Practice | FL | 2024-06-30 |
| O20210607002920 | O | Clinic/Group Practice | CA | 2026-06-30 |
| O20220216001536 | O | Clinic/Group Practice | MA | TBD |
| O20220216001754 | O | Clinic/Group Practice | NM | TBD |
| O20220516001636 | O | Clinic/Group Practice | CT | TBD |
| O20220526001331 | O | Clinic/Group Practice | PA | TBD |
| O20220728003517 | O | Clinic/Group Practice | OH | TBD |
| O20221129003201 | O | Clinic/Group Practice | WA | TBD |
| O20221130000774 | O | Clinic/Group Practice | UT | TBD |
| O20230518000980 | O | Clinic/Group Practice | CO | TBD |
| O20230601002448 | O | Clinic/Group Practice | TX | TBD |
| O20230801002962 | O | Clinic/Group Practice | NV | TBD |
| O20230810003323 | O | Clinic/Group Practice | AZ | TBD |
| O20231211001495 | O | Clinic/Group Practice | TN | TBD |
| O20240222001868 | O | Clinic/Group Practice | VA | TBD |
| O20240612002515 | O | Clinic/Group Practice | NC | TBD |
| O20240904004671 | O | Clinic/Group Practice | MO | TBD |
| O20240920000054 | O | Clinic/Group Practice | HI | TBD |
| O20241220000363 | O | Clinic/Group Practice | SC | TBD |
| O20250123002338 | O | In-Person Mdpp Supplier | NY | TBD |
| O20250506000615 | O | Clinic/Group Practice | MD | TBD |
| O20250703001845 | O | Clinic/Group Practice | LA | TBD |
| O20250723003899 | O | Clinic/Group Practice | DC | TBD |
| O20260217002212 | O | Clinic/Group Practice | MI | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33426)
Loading plans...
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.