NEW YORK PAIN MANAGEMENT PLLC
NPI 1407884455
Anesthesiology - Pain Medicine in Clifton Park, NY
About New York Pain Management Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NEW YORK PAIN MANAGEMENT PLLC (NPI 1407884455) is a healthcare organization registered as a pain medicine in Clifton Park, New York and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through March 24, 2027 and lists Charles Gordon, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 3
Group Practice 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 33D1010866
New York Pain Management PLLC · Clifton Park, NYOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLIFTON PARK, NY 12065
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 Management PLLC's NPI number?
The NPI number for New York Pain Management PLLC is 1407884455. It was assigned to this organization in the NPPES registry on June 29, 2006.
Where is New York Pain Management PLLC located?
New York Pain Management PLLC is located at 9 Old Plank Rd, Clifton Park, NY 12065. The listed phone number is (518) 371-0777.
What is New York Pain Management PLLC's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.
Does New York Pain Management PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D1010866) is associated with this NPI, valid through March 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for New York Pain Management PLLC was last updated on September 9, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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 Pain Management Pllc · NPI 1407884455
Pain Medicine organization in Clifton Park, New York. Organization record, active in the CMS NPPES registry since June 29, 2006.
## Identity
- **NPI:** 1407884455 (Entity type: Organization)
- **Enumerated:** June 29, 2006
- **Primary specialty:** Anesthesiology - Pain Medicine · taxonomy 207LP2900X
- **Organization subpart:** No
- **Authorized official:** Charles Gordon, PRESIDENT
## Practice location
- **Address:** 9 OLD PLANK RD, Clifton Park, NY 12065-3107
- **Phone:** (518) 371-0777
## Record status
- **NPPES last updated:** September 9, 2011
- **Other identifiers:** Medicare ID-Type Unspecified A191535 (NY); Medicare PIN AA1535 (NY); Medicare PIN DA3878 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407884455) · Data from the CMS NPPES public registry.