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
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 Management Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
11Medicare enrollment records show 11 clinicians reassign Medicare billing to New York Pain Management PLLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (11)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, NYFrequently 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.
Is New York Pain Management PLLC enrolled in Medicare?
Yes. New York Pain Management PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through New York Pain Management PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to New York Pain Management PLLC. 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. The largest specialties are Nurse Practitioner (9) and Interventional Pain Management (2). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 15 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
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 11 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (9), Interventional Pain Management (2); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## 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.