AMAZING MEDICAL SERVICES P.C.
NPI 1417287905
Internal Medicine in Jamaica, NY

Active since January 05, 2010CLIA 33D2000615 · Waiver
11016 SUTPHIN BLVD, FIRST FLOOR, JAMAICA, NY 11435(718) 526-7600(718) 526-7611 Get Directions Write a Review

NPPES record last updated: January 5, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Amazing Medical Services P.c. NPPES

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

AMAZING MEDICAL SERVICES P.C. (NPI 1417287905) is a healthcare organization registered as an internal medicine in Jamaica, New York and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Oluwatoyosi Dairo, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1417287905
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameAMAZING MEDICAL SERVICES P.C.
Location Address11016 SUTPHIN BLVD, FIRST FLOORJamaica, NY 11435-5716
Mailing Address11016 Sutphin Blvd, First FloorJamaica, NY 11435-5716 · (718) 526-7600 · Fax (718) 526-7611
Fax(718) 526-7611
Organization SubpartNo
Authorized OfficialOluwatoyosi DairoMedical Director · (347) 528-2192
Enumeration DateJanuary 5, 2010
✔ NPI 1417287905 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 001671
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
11016 SUTPHIN BLVD, Jamaica, NY 11435

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Amazing Medical Services P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 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.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20100209000701Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Amazing Medical Services P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1871686642
11016 SUTPHIN BLVD FIRST FLOOR
Jamaica, NY 11435
(718) 526-7600
✔ PECOS✔ Accepts MedicareSame address

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 33D2000615

Amazing Medical Services PC · Jamaica, NY
Active · expires Dec 2, 2027
CLIA Number33D2000615
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorDr. Oluwatoyosi E. Dairo
Laboratory Phone(347) 528-2192
Laboratory LocationAmazing Medical Services PC110-16 Sutphin Blvd, Jamaica, NY 11435
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Amazing Medical Services P.C.'s NPI number?

The NPI number for Amazing Medical Services P.C. is 1417287905. It was assigned to this organization in the NPPES registry on January 5, 2010.

Where is Amazing Medical Services P.C. located?

Amazing Medical Services P.C. is located at 11016 Sutphin Blvd First Floor, Jamaica, NY 11435. The listed phone number is (718) 526-7600.

What is Amazing Medical Services P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Amazing Medical Services P.C. enrolled in Medicare?

Yes. Amazing Medical Services P.C. is registered in the Medicare PECOS enrollment system.

When is Amazing Medical Services P.C.'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 December 31, 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 Amazing Medical Services P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Amazing Medical Services 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.

Does Amazing Medical Services P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2000615) is associated with this NPI, valid through December 2, 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 Amazing Medical Services P.C. was last updated on January 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.