St. Nicholas Medical PC
NPI 1912192394 · Specialist · Brooklyn, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. Nicholas Medical PC is a Specialist organization in Brooklyn, NY (NPI 1912192394).
Provider details
- NPI number
- 1912192394
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Myat San, President(718) 418-8368
- License
- 231830 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-09-10
- Last updated
- 2008-10-09
Frequently asked questions
- What is St. Nicholas Medical PC's NPI number?
- St. Nicholas Medical PC's National Provider Identifier (NPI) is 1912192394, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Nicholas Medical PC?
- St. Nicholas Medical PC is classified in the NPPES registry as Specialist (Other Service Providers).
- Where is St. Nicholas Medical PC located?
- St. Nicholas Medical PC's practice location on file with NPPES is 115 Saint Nicholas Ave, Brooklyn, NY 11237-3474.
- What is St. Nicholas Medical PC's phone number?
- The practice phone number listed in the NPPES registry for St. Nicholas Medical PC is (718) 418-8368.
- Does St. Nicholas Medical PC accept Medicare?
- St. Nicholas Medical 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 St. Nicholas Medical PC?
- The authorized official listed on St. Nicholas Medical PC's NPPES record is Myat San, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Nicholas Medical PC's NPI active?
- Yes — St. Nicholas Medical PC's NPI (1912192394) is active in the NPPES registry as of the last update on 2008-10-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.