QUALITY MEDICAL MANAGEMENT CORP
NPI 1114502606
Nurse Anesthetist, Certified Registered in Port Jefferson Station, NY
About Quality Medical Management Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
QUALITY MEDICAL MANAGEMENT CORP (NPI 1114502606) is a healthcare organization registered as a nurse anesthetist, certified registered in Port Jefferson Station, New York and active in the NPI registry since March 2021. The organization maintains 3 additional practice locations and lists Mike Reens, Authorized Official, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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)
Quality Medical Management Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
78Medicare enrollment records show 78 clinicians reassign Medicare billing to Quality Medical Management Corp, which bills Medicare for the services they deliver. Of these, 7 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 78Stony Brook, NY 11794
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Quality Medical Management Corp's NPI number?
The NPI number for Quality Medical Management Corp is 1114502606. It was assigned to this organization in the NPPES registry on March 16, 2021.
Where is Quality Medical Management Corp located?
Quality Medical Management Corp is located at 1110 Hallock Ave, Port Jefferson Station, NY 11776. The listed phone number is (631) 476-9100.
What is Quality Medical Management Corp's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Quality Medical Management Corp enrolled in Medicare?
Yes. Quality Medical Management Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Quality Medical Management Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 78 clinicians in 2 Medicare specialties reassign their Medicare billing to Quality Medical Management Corp. 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. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (76) and Anesthesiology (2). Of these, 7 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Quality Medical Management Corp was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Quality Medical Management Corp · NPI 1114502606
Nurse Anesthetist, Certified Registered organization in Port Jefferson Station, New York. Organization record, active in the CMS NPPES registry since March 16, 2021.
## Identity
- **NPI:** 1114502606 (Entity type: Organization)
- **Enumerated:** March 16, 2021
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **Organization subpart:** No
- **Authorized official:** Mike Reens, AUTHORIZED OFFICIAL
## Practice location
- **Address:** 1110 HALLOCK AVE, Port Jefferson Station, NY 11776-1210
- **Phone:** (631) 476-9100
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 78 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Certified Registered Nurse Anesthetist (CRNA) (76), Anesthesiology (2); 7 practice within 10 miles; [full list](https://npiprofile.com/npi/1114502606/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1114502606) · Data from the CMS NPPES public registry.