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RIVERSIDE SPINE AND PAIN MEDICINE, PC
NPI 1417394420
Pain Medicine - Interventional Pain Medicine in New York, NY

Active since May 30, 2013
41 5TH AVE STE IC, NEW YORK, NY 10003(212) 807-6599 Get Directions Write a Review

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Riverside Spine And Pain Medicine, Pc NPPES

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

RIVERSIDE SPINE AND PAIN MEDICINE, PC (NPI 1417394420) is a healthcare organization registered as an interventional pain medicine in New York, New York and active in the NPI registry since May 2013. The organization lists Kathy Iodice, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1417394420
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameRIVERSIDE SPINE AND PAIN MEDICINE, PC
Location Address41 5TH AVE STE ICNew York, NY 10003-4319
Mailing Address44 State Rt 23 Ste 15bRiverdale, NJ 07457-1603
Phone(212) 807-6599
Organization SubpartNo
Authorized OfficialKathy IodiceOffice Manager · (973) 400-1716
Enumeration DateMay 30, 2013
Last NPPES UpdateJanuary 24, 2023
NPPES CertifiedJanuary 24, 2023
✔ NPI 1417394420 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
41 5TH AVE STE IC, New York, NY 10003
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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 and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Spine And Pain Medicine, Pc 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 Riverside Spine And Pain Medicine, PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Deepali Gupta, M.D.
Anesthesiology
NPI 1689802464
800 POLY PL
Brooklyn, NY 11209
(718) 836-6600
✔ PECOS✔ Accepts Medicare8.8 mi

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 Riverside Spine And Pain Medicine, PC's NPI number?

The NPI number for Riverside Spine And Pain Medicine, PC is 1417394420. It was assigned to this organization in the NPPES registry on May 30, 2013.

Where is Riverside Spine And Pain Medicine, PC located?

Riverside Spine And Pain Medicine, PC is located at 41 5th Ave Ste Ic, New York, NY 10003. The listed phone number is (212) 807-6599.

What is Riverside Spine And Pain Medicine, PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Riverside Spine And Pain Medicine, PC enrolled in Medicare?

Yes. Riverside Spine And Pain Medicine, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Spine And Pain Medicine, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Riverside Spine And Pain Medicine, 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 Riverside Spine And Pain Medicine, PC was last updated on January 24, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.