LIFELINE MEDICAL TESTING PLLC
NPI 1114634482
Internal Medicine - Pulmonary Disease in New York, NY

Active since November 04, 2022
1041 3RD AVE # 203, NEW YORK, NY 10065(212) 583-2969 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lifeline Medical Testing Pllc NPPES

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

LIFELINE MEDICAL TESTING PLLC (NPI 1114634482) is a healthcare organization registered as a pulmonary disease in New York, New York and active in the NPI registry since November 2022. The organization lists Diego Diaz, Medical Director/ceo, as its authorized official.

NPPES Registry Identity

NPI1114634482
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameLIFELINE MEDICAL TESTING PLLC
Location Address1041 3RD AVE # 203New York, NY 10065-8114
Mailing Address40 Ormond StDix Hills, NY 11746-6333
Organization SubpartNo
Authorized OfficialDiego DiazMedical Director/ceo · (917) 678-8400
Enumeration DateNovember 4, 2022
NPPES CertifiedNovember 4, 2022
✔ NPI 1114634482 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
1041 3RD AVE # 203, New York, NY 10065

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)

Lifeline Medical Testing Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Lifeline Medical Testing PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Sleep Medicine
NPI 1942270467
110 E 59TH ST SUITE 9C
New York, NY 10022
(212) 583-2850
✔ PECOS0.2 mi
Neurology
NPI 1285723791
616 BARDINI DR
Melville, NY 11747
(516) 316-0983
✔ PECOS30 mi

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 Lifeline Medical Testing PLLC's NPI number?

The NPI number for Lifeline Medical Testing PLLC is 1114634482. It was assigned to this organization in the NPPES registry on November 4, 2022.

Where is Lifeline Medical Testing PLLC located?

Lifeline Medical Testing PLLC is located at 1041 3rd Ave # 203, New York, NY 10065. The listed phone number is (212) 583-2969.

What is Lifeline Medical Testing PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Lifeline Medical Testing PLLC enrolled in Medicare?

Yes. Lifeline Medical Testing PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Lifeline Medical Testing PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Lifeline Medical Testing PLLC, in Neurology and Sleep Medicine. 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, 1 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 Lifeline Medical Testing PLLC was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.