Ccn General Medicine PLLC
NPI 1902120025 · Primary Care Clinic/Center · Bronx, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ccn General Medicine PLLC is a Primary Care Clinic/Center organization in Bronx, NY (NPI 1902120025).
Provider details
- NPI number
- 1902120025
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Hector Reyes, Adm(718) 569-7929
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
- 2010-03-18
- Last updated
- 2026-03-23
- Certified
- 2026-03-23
Frequently asked questions
- What is Ccn General Medicine PLLC's NPI number?
- Ccn General Medicine PLLC's National Provider Identifier (NPI) is 1902120025, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ccn General Medicine PLLC?
- Ccn General Medicine PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ccn General Medicine PLLC located?
- Ccn General Medicine PLLC's practice location on file with NPPES is 1262 Boston Rd, Bronx, NY 10456-3602.
- What is Ccn General Medicine PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ccn General Medicine PLLC is (718) 569-7929.
- Does Ccn General Medicine PLLC accept Medicare?
- Ccn General Medicine 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 Ccn General Medicine PLLC?
- The authorized official listed on Ccn General Medicine PLLC's NPPES record is Hector Reyes, Adm. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ccn General Medicine PLLC's NPI active?
- Yes — Ccn General Medicine PLLC's NPI (1902120025) is active in the NPPES registry as of the last update on 2026-03-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.