OrganizationActive
Village Family Practice
NPI 1104182880 · Primary Care Clinic/Center · New York, NY
Provider details
- NPI number
- 1104182880
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Clements, President(212) 477-1750
- License
- 166998 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
30 5th Ave
1e
New York, NY 10011-8859
Phone: (212) 477-1750
Street-level locationGet directions
Mailing address
30 5th Ave
New York, NY 10011-8859
Other names (DBA / former)
- Doing business as
- Village Travel Medicine
Registry dates
- Enumerated
- 2012-04-06
- Last updated
- 2012-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.