PREMIER PEDIATRICS
NPI 1073227245
Pediatrics in Pomona, NY

Active since January 11, 2023CLIA 33D2276504 · Waiver
26 FIREMENS MEMORIAL DR STE 120, POMONA, NY 10970(845) 712-6006(845) 714-0994 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2023, Jan 11, 2023 (2 updates tracked since 2023).

About Premier Pediatrics NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER PEDIATRICS (NPI 1073227245) is a healthcare organization registered as a pediatrics in Pomona, New York and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through February 8, 2027 and lists Reuven Blobstein, Md/owner, as its authorized official.

NPPES Registry Identity

NPI1073227245
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameEXPRESS PEDIATRICS
Location Address26 FIREMENS MEMORIAL DR STE 120Pomona, NY 10970-3576
Mailing Address26 Firemens Memorial Dr Ste 120Pomona, NY 10970-3576 · (845) 712-6006 · Fax (845) 714-0994
Fax(845) 714-0994
Organization SubpartYes
Authorized OfficialReuven BlobsteinMd/owner · (845) 712-6006
Enumeration DateJanuary 11, 2023
Last NPPES UpdateJune 27, 20232 updates tracked since enumeration
NPPES CertifiedJune 27, 2023
✔ NPI 1073227245 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
26 FIREMENS MEMORIAL DR STE 120, Pomona, NY 10970

Other Names 1

Doing Business AsPremier Pediatrics

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Pediatrics is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Premier Pediatrics, which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1770014813
4500 PARSONS BLVD
Flushing, NY 11355
(718) 670-5000
✔ PECOS✔ Accepts Medicare31 mi

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 33D2276504

Express Pediatrics · Pomona, NY
Active · expires Feb 8, 2027
CLIA Number33D2276504
Laboratory TypePhysician Office
Certificate Effective DateFebruary 9, 2025
Certificate Expiration DateFebruary 8, 2027
Laboratory DirectorDr. Reuven Bobstein
Laboratory Phone(845) 712-6006
Laboratory LocationExpress Pediatrics26 Firemens Memorial Dr, 1st Floor, Pomona, NY 10970
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently 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 Express Pediatrics's NPI number?

The NPI number for Express Pediatrics is 1073227245. It was assigned to this organization in the NPPES registry on January 11, 2023. The provider is doing business as Premier Pediatrics.

Where is Express Pediatrics located?

Express Pediatrics is located at 26 Firemens Memorial Dr Ste 120, Pomona, NY 10970. The listed phone number is (845) 712-6006.

What is Express Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Express Pediatrics enrolled in Medicare?

Yes. Express Pediatrics is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Express Pediatrics?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Express Pediatrics. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Express Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2276504) is associated with this NPI, valid through February 8, 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 Express Pediatrics was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.