1110 Pennsylvania Avenue Medical PLLC
NPI 1730638115 · Urgent Care Clinic/Center · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
1110 Pennsylvania Avenue Medical PLLC is a Urgent Care Clinic/Center organization in Brooklyn, NY (NPI 1730638115).
Provider details
- NPI number
- 1730638115
- Entity type
- Organization
- Primary specialty
- Urgent Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jacqueline Storey, Physician(646) 942-2842
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
Mailing address
Registry dates
- Enumerated
- 2016-09-27
- Last updated
- 2016-10-05
Frequently asked questions
- What is 1110 Pennsylvania Avenue Medical PLLC's NPI number?
- 1110 Pennsylvania Avenue Medical PLLC's National Provider Identifier (NPI) is 1730638115, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1110 Pennsylvania Avenue Medical PLLC?
- 1110 Pennsylvania Avenue Medical PLLC is classified in the NPPES registry as Urgent Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is 1110 Pennsylvania Avenue Medical PLLC located?
- 1110 Pennsylvania Avenue Medical PLLC's practice location on file with NPPES is 1110 Pennsylvania Ave, Brooklyn, NY 11207-9003.
- What is 1110 Pennsylvania Avenue Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for 1110 Pennsylvania Avenue Medical PLLC is (646) 942-2842.
- Does 1110 Pennsylvania Avenue Medical PLLC accept Medicare?
- 1110 Pennsylvania Avenue Medical PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 1110 Pennsylvania Avenue Medical PLLC?
- The authorized official listed on 1110 Pennsylvania Avenue Medical PLLC's NPPES record is Jacqueline Storey, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1110 Pennsylvania Avenue Medical PLLC's NPI active?
- Yes — 1110 Pennsylvania Avenue Medical PLLC's NPI (1730638115) is active in the NPPES registry as of the last update on 2016-10-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.