BAE SYSTEMS ENDICOTT NY
NPI 1629661889
Clinic/Center - Occupational Medicine in Endicott, NY

Q: What is Premise Health Of New York Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Active since February 18, 2021CLIA 33D2079099 · Waiver

1301 NORTH STREET, ENDICOTT, NY 13760(607) 770-2081(607) 770-3355 Get Directions Write a Review

NPPES record last updated: August 16, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 16, 2022, Feb 18, 2021 (2 updates tracked since 2021).

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About Bae Systems Endicott Ny NPPES

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

BAE SYSTEMS ENDICOTT NY (NPI 1629661889) is a healthcare organization registered as an occupational medicine in Endicott, New York and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Jon Leizman, President, as its authorized official.

NPPES Registry Identity

NPI1629661889

Entity TypeOrganization

Primary Taxonomy261QX0100X

Legal Business NamePREMISE HEALTH OF NEW YORK MEDICAL, P.C

Location Address1301 NORTH STREETEndicott, NY 13760

Mailing Address5500 Maryland Way Ste 120Brentwood, TN 37027-4993

Phone(607) 770-2081

Fax(607) 770-3355

Organization SubpartNo

Authorized OfficialJon LeizmanPresident · (216) 479-9063

Enumeration DateFebruary 18, 2021

Last NPPES UpdateAugust 16, 20222 updates tracked since enumeration

NPPES CertifiedAugust 16, 2022

✔ NPI 1629661889 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Occupational MedicineAmbulatory Health Care Facilities

Taxonomy Code261QX0100X

1301 NORTH STREET, Endicott, NY 13760

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Other Names 1

Doing Business AsBae Systems Endicott Ny

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 33D2079099

Bae Systems - Endicott · Endicott, NY

Active · expires Mar 26, 2027

CLIA Number33D2079099

Laboratory TypeIndustrial

Certificate Effective DateJune 10, 2014

Certificate Expiration DateMarch 26, 2027

Laboratory DirectorDr. Albert F. Rielly

Laboratory Phone(607) 770-2081

Laboratory LocationBae Systems - Endicott1301 North St, Endicott, NY 13760

CLIA data matches this NPI record on: Address 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 Premise Health Of New York Medical, P.C's NPI number?

The NPI number for Premise Health Of New York Medical, P.C is 1629661889. It was assigned to this organization in the NPPES registry on February 18, 2021. The provider is doing business as Bae Systems Endicott Ny.

Where is Premise Health Of New York Medical, P.C located?

Premise Health Of New York Medical, P.C is located at 1301 North Street, Endicott, NY 13760. The listed phone number is (607) 770-2081.

What is Premise Health Of New York Medical, P.C's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Occupational Medicine, with taxonomy code 261QX0100X.

Does Premise Health Of New York Medical, P.C hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2079099) is associated with this NPI, valid through March 26, 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 Premise Health Of New York Medical, P.C was last updated on August 16, 2022. 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.