Provider

121 MEDICAL P.C.

Public NPPES listing with taxonomy: Family Medicine.

Resource details

Medicare status: Confirm directly

Unknown from NPPES

Source: NPPES NPI Registry

NPI: 1235762899

Taxonomy: Family Medicine (207Q00000X)

Source confidence: 58%

Medicare assignment: Unknown from NPPES

Address: 5030 BROADWAY STE 818, NEW YORK, NY, 100341670

Phone: 914-316-0487

Last verified: May 13, 2026