NEW YORK PAIN MEDICINE ASSOCIATE, PLLC
NPI 1124696976
Pain Medicine - Interventional Pain Medicine in Hempstead, NY

Active since June 16, 2021
717 FRONT ST, HEMPSTEAD, NY 11550(732) 873-6868(732) 873-6869 Get Directions Write a Review

NPPES record last updated: June 16, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About New York Pain Medicine Associate, Pllc NPPES

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

NEW YORK PAIN MEDICINE ASSOCIATE, PLLC (NPI 1124696976) is a healthcare organization registered as an interventional pain medicine in Hempstead, New York and active in the NPI registry since June 2021. The organization lists Hyesung Demesmin, Authorized Representative, as its authorized official.

NPPES Registry Identity

NPI1124696976
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameNEW YORK PAIN MEDICINE ASSOCIATE, PLLC
Location Address717 FRONT STHempstead, NY 11550-4534
Mailing Address59 Veronica AveSomerset, NJ 08873-3579 · (732) 873-6868 · Fax (732) 862-5523
Fax(732) 873-6869
Organization SubpartNo
Authorized OfficialHyesung DemesminAuthorized Representative · (732) 873-6868
Enumeration DateJune 16, 2021
NPPES CertifiedJune 16, 2021
✔ NPI 1124696976 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
717 FRONT ST, Hempstead, NY 11550

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)

New York Pain Medicine Associate, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to New York Pain Medicine Associate, PLLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (3)

Interventional Pain Management
NPI 1194990820
2510 30TH AVE ANESTHESIOLOGY DEPARTMENT
Astoria, NY 11102
(800) 627-4470
✔ PECOS✔ Accepts Medicare17 mi
Physical Medicine and Rehabilitation
NPI 1427678341
435 E 90TH ST
New York, NY 10128
(732) 873-6868
✔ PECOS18 mi
Interventional Pain Management
NPI 1336170216
59 VERONICA AVE
Somerset, NJ 08873
(732) 873-6868
✔ PECOS✔ Accepts Medicare50 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 New York Pain Medicine Associate, PLLC's NPI number?

The NPI number for New York Pain Medicine Associate, PLLC is 1124696976. It was assigned to this organization in the NPPES registry on June 16, 2021.

Where is New York Pain Medicine Associate, PLLC located?

New York Pain Medicine Associate, PLLC is located at 717 Front St, Hempstead, NY 11550. The listed phone number is (732) 873-6868.

What is New York Pain Medicine Associate, PLLC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is New York Pain Medicine Associate, PLLC enrolled in Medicare?

Yes. New York Pain Medicine Associate, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New York Pain Medicine Associate, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to New York Pain Medicine Associate, PLLC, in Interventional Pain Management and Physical Medicine and Rehabilitation. 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.

When was this NPI record last updated?

The NPPES record for New York Pain Medicine Associate, PLLC was last updated on June 16, 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.