Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Professional Evaluation Medical Group

Organization Exclusive Provider Organization · NPI 1790818573

Professional Evaluation Medical Group is an Exclusive Provider Organization in New York, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

229 W 36th St Fl 10
New York, NY 10018-8949
Phone: (212) 463-8605
Fax: (212) 463-8579
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence 147150 (NY)

Record details

NPI number1790818573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Sheehy — Executive Director · (516) 935-1730
NPI enumeratedMarch 13, 2007
Last updated in NPPESNovember 10, 2011
Mailing address380 S Broadway, Hicksville, NY 11801-5033

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