NEW YORK VASCULAR GROUP, PLLC
NPI 1073128971
Surgery - Vascular Surgery in Cornwall, NY
About New York Vascular Group, Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK VASCULAR GROUP, PLLC (NPI 1073128971) is a healthcare organization registered as a vascular surgery in Cornwall, New York and active in the NPI registry since September 2020. The organization holds a CLIA Waiver certificate valid through July 26, 2027 and lists Sae Hahm, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New York Vascular Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to New York Vascular Group, PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D2230630
New York Vascular Group PLLC · Cornwall, NYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is New York Vascular Group, PLLC's NPI number?
The NPI number for New York Vascular Group, PLLC is 1073128971. It was assigned to this organization in the NPPES registry on September 9, 2020.
Where is New York Vascular Group, PLLC located?
New York Vascular Group, PLLC is located at 19 Laurel Ave Ste 102, Cornwall, NY 12518. The listed phone number is (845) 822-8100.
What is New York Vascular Group, PLLC's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is New York Vascular Group, PLLC enrolled in Medicare?
Yes. New York Vascular Group, PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New York Vascular Group, PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Vascular Surgery, reassign their Medicare billing to New York Vascular Group, PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does New York Vascular Group, PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2230630) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for New York Vascular Group, PLLC was last updated on February 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# New York Vascular Group, Pllc · NPI 1073128971
Vascular Surgery organization in Cornwall, New York. Organization record, active in the CMS NPPES registry since September 9, 2020.
## Identity
- **NPI:** 1073128971 (Entity type: Organization)
- **Enumerated:** September 9, 2020
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **Organization subpart:** No
- **Authorized official:** Sae Hahm, OWNER
## Practice location
- **Address:** 19 LAUREL AVE STE 102, Cornwall, NY 12518-1403
- **Phone:** (845) 822-8100 · **Fax:** (845) 822-8110
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Vascular Surgery) reassign Medicare billing to this organization (form CMS-855R); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1073128971) · Data from the CMS NPPES public registry.