My Medical Pc - Medicare in Valley Cottage, NY

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My Medical Pc is a medicare enrolled "Family Medicine" provider in Valley Cottage, New York. Their current practice location is 612 Corporate Way Ste 2m, Valley Cottage, New York. You can reach out to their office (for appointments etc.) via phone at (718) 280-5436.

My Medical Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. My Medical Pc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1518637891.

Contact Information

My Medical Pc
612 Corporate Way Ste 2m,
Valley Cottage, NY 10989-2027
(718) 280-5436
(718) 414-1651

Map and Direction




Healthcare Provider's Profile

Full NameMy Medical Pc
TypeFacility
SpecialityFamily Medicine
Location612 Corporate Way Ste 2m, Valley Cottage, New York
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518637891
  • Provider Enumeration Date: 09/17/2021
  • Last Update Date: 01/18/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0143610600
  • Enrollment ID: O20211124001353

Medical Identifiers

Medical identifiers for My Medical Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518637891NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
152W00000XOptometrist (* (Not Available))Secondary
207Q00000XFamily Medicine (* (Not Available))Primary
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
207RI0011XInternal Medicine - Interventional Cardiology (* (Not Available))Secondary
207RP1001XInternal Medicine - Pulmonary Disease (* (Not Available))Secondary
2081P2900XPhysical Medicine & Rehabilitation - Pain Medicine (* (Not Available))Secondary
2084P0800XPsychiatry & Neurology - Psychiatry (* (Not Available))Secondary
208800000XUrology (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
227800000XRespiratory Therapist, Certified (* (Not Available))Secondary
2355S0801XSpecialist/technologist - Speech-language Assistant (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. My Medical Pc acts as a billing entity for following providers:
Provider NameDiana Castro
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1518993476
PECOS PAC ID: 2365330057
Enrollment ID: I20040305000010
Provider NameEmerth L Coburn
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1477544096
PECOS PAC ID: 8022088806
Enrollment ID: I20040728001712
Provider NameBrian M Strauss
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1659595957
PECOS PAC ID: 6305803610
Enrollment ID: I20041217000264
Provider NameGhazanfar W Haidery
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1801974159
PECOS PAC ID: 4082650312
Enrollment ID: I20050707001010
Provider NameJanine Kramer
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1205891405
PECOS PAC ID: 4981613486
Enrollment ID: I20060411000610
Provider NameRichard S Zito
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1366555849
PECOS PAC ID: 4789693292
Enrollment ID: I20060411000734
Provider NameJudy Fuhrer Avigdor
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1235324922
PECOS PAC ID: 1052482213
Enrollment ID: I20080616000163
Provider NameRoseline N Ihim
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1790979391
PECOS PAC ID: 4183703663
Enrollment ID: I20080825000123
Provider NameGeorges R Ramalanjaona
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1104811785
PECOS PAC ID: 4587688429
Enrollment ID: I20081119000554
Provider NameAdam L Moskowitz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1679652036
PECOS PAC ID: 3971655010
Enrollment ID: I20090721000098
Provider NameFlorence Pua
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1124105036
PECOS PAC ID: 3971796483
Enrollment ID: I20101015001206
Provider NamePeyman Younesi
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891942645
PECOS PAC ID: 0345420790
Enrollment ID: I20110202000565
Provider NameJody Ann R Buckle
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1295043032
PECOS PAC ID: 1759556657
Enrollment ID: I20111205000311
Provider NameSurinder A Pal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538245139
PECOS PAC ID: 5294987624
Enrollment ID: I20121212000217
Provider NameJennifer M Figueroa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164655270
PECOS PAC ID: 8426290875
Enrollment ID: I20130814000302
Provider NameJason Sarzosa
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1144623695
PECOS PAC ID: 6608098645
Enrollment ID: I20141107000291
Provider NameEthan John Liebler
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770677809
PECOS PAC ID: 1052308608
Enrollment ID: I20150716000153
Provider NameAfolabi Poroye
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386956654
PECOS PAC ID: 8022240183
Enrollment ID: I20160202002674
Provider NameIshtiaq Hossain
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104261379
PECOS PAC ID: 0345472999
Enrollment ID: I20160817000893
Provider NameGeorgey Easow
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1083637805
PECOS PAC ID: 6204114572
Enrollment ID: I20161021000609
Provider NameAlexander I Gumbs
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750764007
PECOS PAC ID: 4385923549
Enrollment ID: I20161111000910
Provider NameYulissa Familia
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720518715
PECOS PAC ID: 0840562922
Enrollment ID: I20170824001114
Provider NameDaniella Fireman
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1750856928
PECOS PAC ID: 1052665502
Enrollment ID: I20181119003245
Provider NameBlima Marcus
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083181598
PECOS PAC ID: 4688916109
Enrollment ID: I20190503000228
Provider NameMarie Carmelle Rommage
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851809131
PECOS PAC ID: 3375876725
Enrollment ID: I20190625001002
Provider NameAndrea Gomez Ugarelli
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1497235857
PECOS PAC ID: 7012242183
Enrollment ID: I20190711001224
Provider NameRenata Dworzanczyk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1184108219
PECOS PAC ID: 1850620170
Enrollment ID: I20190912000808
Provider NameAsha Kuniyil
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1710152558
PECOS PAC ID: 5193055606
Enrollment ID: I20190926001176
Provider NameRuby Ezra
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699088898
PECOS PAC ID: 3173853397
Enrollment ID: I20191001000821
Provider NameMichael D Jurewicz
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1649562414
PECOS PAC ID: 6406117522
Enrollment ID: I20191205001939
Provider NameTasha T Mclean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730513631
PECOS PAC ID: 3678992427
Enrollment ID: I20200929001805
Provider NameShyan Jagdeo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205459534
PECOS PAC ID: 7810308111
Enrollment ID: I20201117002010
Provider NameEmily Therese Casello
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1780230532
PECOS PAC ID: 6709298060
Enrollment ID: I20201210002507
Provider NameDevin Clark
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760915425
PECOS PAC ID: 7719242163
Enrollment ID: I20210309000071
Provider NameShannon-kaye Marshall
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1265015952
PECOS PAC ID: 1254733819
Enrollment ID: I20210706002252
Provider NameCasey Leigh Koeneke
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1699393678
PECOS PAC ID: 0244629210
Enrollment ID: I20211112000330
Provider NameNatalie Carbuccia Carbuccia
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1407260524
PECOS PAC ID: 5597156331
Enrollment ID: I20220105000791
Provider NameMichael Attanasio
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1982364360
PECOS PAC ID: 9739570581
Enrollment ID: I20220105000959
Provider NameMerrin Abraham
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1306467253
PECOS PAC ID: 5597158584
Enrollment ID: I20220216000587
Provider NameKia Nichole Antipuesto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1639844434
PECOS PAC ID: 5597150649
Enrollment ID: I20220328001499
Provider NameMarissa Silber
Provider TypePractitioner - Occupational Therapist In Private Practice
Provider IdentifiersNPI Number: 1316568280
PECOS PAC ID: 7113312273
Enrollment ID: I20220328001618
Provider NameLarry Malkin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245792043
PECOS PAC ID: 6800124207
Enrollment ID: I20220616002992
Provider NameJuana Miranda-lopez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1073838660
PECOS PAC ID: 5395161970
Enrollment ID: I20220707000843
Provider NameRyan Joseph Mumpar Buzon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1760181028
PECOS PAC ID: 9638543192
Enrollment ID: I20230323001712
Provider NameLucille Lore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1659912608
PECOS PAC ID: 3971964347
Enrollment ID: I20230801003588
Provider NameJoseph Pierrot
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548586159
PECOS PAC ID: 2365898749
Enrollment ID: I20231020001136
Provider NameSandra M Guiteau
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154044006
PECOS PAC ID: 6901261593
Enrollment ID: I20240227003758
Provider NameStephen Dane Frank
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1467080465
PECOS PAC ID: 1153769849
Enrollment ID: I20240401000605
Provider NameDavid Gyawu Kufuor
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1881421808
PECOS PAC ID: 8325589096
Enrollment ID: I20240920002870
Provider NameChukwukelue Nwabueze Uchefuna
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1407683899
PECOS PAC ID: 8527509090
Enrollment ID: I20240924003039
Provider NameHerold Joseph
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1225858715
PECOS PAC ID: 3072048362
Enrollment ID: I20241122003431
Provider NameChandan Peter Gomes
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1588498729
PECOS PAC ID: 3476089749
Enrollment ID: I20241210002080

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. My Medical Pc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
My Medical Pc
612 Corporate Way Ste 2m,
Valley Cottage, NY 10989-2027

Ph: (718) 280-5436		My Medical Pc
612 Corporate Way Ste 2m,
Valley Cottage, NY 10989-2027

Ph: (718) 280-5436

Reviews and Comments



Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.