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

Village Family Practice, PC

Organization Family Medicine Physician · NPI 1902048911

Village Family Practice, PC is a Family Medicine Physician in New York, New York. Licensed in New York. Registered with an NPI since 2009.

Licensed in
NY
In the registry since
2009
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

30 5th Ave
New York, NY 10011-8859 Not confirmed with CMS for 16 years — call before visiting
Phone: (212) 477-1750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 166889 (NY)

Record details

NPI number1902048911
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Clements — President · (212) 477-1750
NPI enumeratedApril 6, 2009
Last updated in NPPESApril 22, 2010
Mailing address30 5th Ave, New York, NY 10011-8859

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