NEW YORK RADIATION ONCOLOGY ASSOCIATES, PC
NPI 1215159603
Specialist in Ozone Park, NY
About New York Radiation Oncology Associates, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK RADIATION ONCOLOGY ASSOCIATES, PC (NPI 1215159603) is a healthcare organization registered as a specialist in Ozone Park, New York and active in the NPI registry since May 2007. The organization lists Rene S Mediavillo, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
New York Radiation Oncology Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to New York Radiation Oncology Associates, PC, 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 Radiation Oncology Associates, PC's NPI number?
The NPI number for New York Radiation Oncology Associates, PC is 1215159603. It was assigned to this organization in the NPPES registry on May 3, 2007.
Where is New York Radiation Oncology Associates, PC located?
New York Radiation Oncology Associates, PC is located at 92-02 Liberty Avenue, Ozone Park, NY 11417. The listed phone number is (718) 835-9729.
What is New York Radiation Oncology Associates, PC's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is New York Radiation Oncology Associates, PC enrolled in Medicare?
Yes. New York Radiation Oncology Associates, PC is registered in the Medicare PECOS enrollment system.
When is New York Radiation Oncology Associates, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through New York Radiation Oncology Associates, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Radiation Oncology) reassigns their Medicare billing to New York Radiation Oncology Associates, PC. 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 Radiation Oncology Associates, PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Radiation Oncology Associates, Pc · NPI 1215159603
Specialist organization in Ozone Park, New York. Organization record, active in the CMS NPPES registry since May 3, 2007.
## Identity
- **NPI:** 1215159603 (Entity type: Organization)
- **Enumerated:** May 3, 2007
- **Primary specialty:** Specialist · taxonomy 174400000X
- **Organization subpart:** No
- **Authorized official:** Rene Mediavillo, OWNER
## Practice location
- **Address:** 92-02 LIBERTY AVENUE, Ozone Park, NY 11417
- **Phone:** (718) 835-9729 · **Fax:** (718) 925-9817
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Radiation Oncology) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Medicaid 02146674 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1215159603) · Data from the CMS NPPES public registry.