Village Family Practice, PC
NPI 1902048911 · Family Medicine Physician · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Village Family Practice, PC is a Family Medicine Physician organization in New York, NY (NPI 1902048911).
Provider details
- NPI number
- 1902048911
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jerry Clements, President(212) 477-1750
- License
- 166889 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2009-04-06
- Last updated
- 2010-04-22
Frequently asked questions
- What is Village Family Practice, PC's NPI number?
- Village Family Practice, PC's National Provider Identifier (NPI) is 1902048911, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Village Family Practice, PC?
- Village Family Practice, PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Village Family Practice, PC located?
- Village Family Practice, PC's practice location on file with NPPES is 30 5th Ave, New York, NY 10011-8859.
- What is Village Family Practice, PC's phone number?
- The practice phone number listed in the NPPES registry for Village Family Practice, PC is (212) 477-1750.
- Does Village Family Practice, PC accept Medicare?
- Village Family Practice, PC 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 Village Family Practice, PC?
- The authorized official listed on Village Family Practice, PC's NPPES record is Jerry Clements, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Village Family Practice, PC's NPI active?
- Yes — Village Family Practice, PC's NPI (1902048911) is active in the NPPES registry as of the last update on 2010-04-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.