NEW YORK ISPINE SPECIALIST MEDICAL P.C.
NPI 1144604539
Pain Medicine - Pain Medicine in Great Neck, NY
About New York Ispine Specialist Medical P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK ISPINE SPECIALIST MEDICAL P.C. (NPI 1144604539) is a healthcare organization registered as a pain medicine in Great Neck, New York and active in the NPI registry since July 2015. The organization lists Madan K Raj, Md, 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 Ispine Specialist Medical P.c. 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 New York Ispine Specialist Medical P.C., which bills Medicare for the services this clinician delivers.
Clinician (1)
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 Ispine Specialist Medical P.C.'s NPI number?
The NPI number for New York Ispine Specialist Medical P.C. is 1144604539. It was assigned to this organization in the NPPES registry on July 15, 2015.
Where is New York Ispine Specialist Medical P.C. located?
New York Ispine Specialist Medical P.C. is located at 600 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 441-5739.
What is New York Ispine Specialist Medical P.C.'s specialty?
The primary specialty registered for this NPI is Pain Medicine with taxonomy code 208VP0000X.
Is New York Ispine Specialist Medical P.C. enrolled in Medicare?
Yes. New York Ispine Specialist Medical P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New York Ispine Specialist Medical P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to New York Ispine Specialist Medical P.C.. 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 Ispine Specialist Medical P.C. was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 Ispine Specialist Medical P.c. · NPI 1144604539
Pain Medicine organization in Great Neck, New York. Organization record, active in the CMS NPPES registry since July 15, 2015.
## Identity
- **NPI:** 1144604539 (Entity type: Organization)
- **Enumerated:** July 15, 2015
- **Primary specialty:** Pain Medicine - Pain Medicine · taxonomy 208VP0000X
- **Organization subpart:** No
- **Authorized official:** Madan Raj, MD
## Practice location
- **Address:** 600 NORTHERN BLVD, Great Neck, NY 11021-5206
- **Phone:** (516) 441-5739
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Interventional Pain Management) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 9, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1144604539) · Data from the CMS NPPES public registry.