ALFRED E. SLONIM PHYSICIAN PC — NPI 1104006717 (Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Molecular Genetic Pathology in NEW HYDE PARK, NY)

CMS-1500 Box 24J / 33a • NPI

1104006717

Type 2 Organization (Box 32a/33a)

HIPAA NUCC Taxonomy • CMS Code

207SM0001X (CMS D3)

Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Molecular Genetic Pathology

Box 32 Service Location & ZIP+4

2001 MARCUS AVE, SUITE N210, NEW HYDE PARK, NY, 11042-1011

✓ 9-Digit EDI 837 ZIP+4 (11042-1011)

Practice Phone & Referral Fax

(516) 616-0074

Fax: (516) 616-9388

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1104006717 (ALFRED E. SLONIM PHYSICIAN PC) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

Institutional Type-2 NPI facilities enroll via CMS-855A institutional provider agreements rather than individual Order & Referring PECOS.

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1104006717` (NPI-2 Organization / Facility)
Provider / Legal Name	ALFRED E. SLONIM PHYSICIAN PC
Plain-English Specialty	Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Molecular Genetic Pathology NUCC Code: `207SM0001X` (Medical Genetics, Molecular Genetic Pathology)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	2001 MARCUS AVE, SUITE N210, NEW HYDE PARK, NY, 11042-1011
Practice Telephone / Fax	Tel: (516) 616-0074 \| Fax: (516) 616-9388
Administrative Mailing Address	2001 MARCUS AVE, NEW HYDE PARK, NY, 11042-1011
Enumeration & Last Sync	Enumerated: 2007-11-12 \| CMS Record Updated: 2007-11-12
Authorized Official	ALFRED SLONIM (Director)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

2001 MARCUS AVE, SUITE N210, NEW HYDE PARK, NY, 11042-1011

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Plain-English Taxonomy & CMS Crosswalk (207SM0001X)

What Does Taxonomy Code 207SM0001X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207SM0001X translates to:
"Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Molecular Genetic Pathology"

CMS-1500 Medicare Specialty Crosswalk: CMS Code D3 (Medical Genetics and Genomics)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Medical Genetics, Molecular Genetic Pathology for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (ALFRED E. SLONIM PHYSICIAN PC)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207SM0001X` — Medical Genetics, Molecular Genetic Pathology Plain English: Licensed & Credentialed Allopathic & Osteopathic Physicians — Medical Genetics — Molecular Genetic Pathology	State: NY \| License: `1574591` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

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ALFRED E. SLONIM PHYSICIAN PC (NPI #1104006717)