Divine Medical LLC
NPI 1952920795 · Primary Care Clinic/Center · Rosedale, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Divine Medical LLC is a Primary Care Clinic/Center organization in Rosedale, NY (NPI 1952920795).
Provider details
- NPI number
- 1952920795
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Augustine Umeozor, Ceo/Medical Director(917) 742-2442
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
6 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
- 2020-04-12
- Last updated
- 2020-04-12
- Certified
- 2020-04-12
Frequently asked questions
- What is Divine Medical LLC's NPI number?
- Divine Medical LLC's National Provider Identifier (NPI) is 1952920795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Divine Medical LLC?
- Divine Medical LLC is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Divine Medical LLC located?
- Divine Medical LLC's practice location on file with NPPES is 13163 233rd St # 1, Rosedale, NY 11422-1305.
- What is Divine Medical LLC's phone number?
- The practice phone number listed in the NPPES registry for Divine Medical LLC is (718) 525-3347.
- Does Divine Medical LLC accept Medicare?
- Divine Medical LLC 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 Divine Medical LLC?
- The authorized official listed on Divine Medical LLC's NPPES record is Augustine Umeozor, Ceo/Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Divine Medical LLC's NPI active?
- Yes — Divine Medical LLC's NPI (1952920795) is active in the NPPES registry as of the last update on 2020-04-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.