Pride Medical, PLLC
NPI 1922214600 · Primary Care Clinic/Center · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pride Medical, PLLC is a Primary Care Clinic/Center organization in New York, NY (NPI 1922214600).
Provider details
- NPI number
- 1922214600
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Punyadech Photangtham, Owner(917) 656-2951
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
19 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
- 2007-05-16
- Last updated
- 2015-11-23
Frequently asked questions
- What is Pride Medical, PLLC's NPI number?
- Pride Medical, PLLC's National Provider Identifier (NPI) is 1922214600, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pride Medical, PLLC?
- Pride Medical, PLLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Pride Medical, PLLC located?
- Pride Medical, PLLC's practice location on file with NPPES is 3875 Broadway, New York, NY 10032-1567.
- What is Pride Medical, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Pride Medical, PLLC is (917) 656-2951.
- Does Pride Medical, PLLC accept Medicare?
- Pride 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 Pride Medical, PLLC?
- The authorized official listed on Pride Medical, PLLC's NPPES record is Punyadech Photangtham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pride Medical, PLLC's NPI active?
- Yes — Pride Medical, PLLC's NPI (1922214600) is active in the NPPES registry as of the last update on 2015-11-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.