NY SPINE CARE INTERVENTIONAL PAIN MANAGEMENT
NPI 1881986743
Pain Medicine - Interventional Pain Medicine in Flushing, NY

Active since May 11, 2011CLIA 33D2028151 · Waiver
188-16 NORTHERN BLVD, FLUSHING, NY 11358(718) 762-7000(718) 762-7002 Get Directions Write a Review

NPPES record last updated: August 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ny Spine Care Interventional Pain Management NPPES

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

NY SPINE CARE INTERVENTIONAL PAIN MANAGEMENT (NPI 1881986743) is a healthcare organization registered as an interventional pain medicine in Flushing, New York and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through August 9, 2027 and lists Michael I Jo, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1881986743
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameNY PREMIER MEDICAL PRACTICE, PC
Location Address188-16 NORTHERN BLVDFlushing, NY 11358-2811
Mailing Address188-16 Northern BlvdFlushing, NY 11358-2811 · (718) 762-7000 · Fax (718) 762-7002
Fax(718) 762-7002
Organization SubpartNo
Authorized OfficialMichael I JoOffice Manager · (347) 804-7532
Enumeration DateMay 11, 2011
Last NPPES UpdateAugust 1, 2023
NPPES CertifiedAugust 1, 2023
NPI 1881986743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License Licensed in NY · 232226
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.
188-16 NORTHERN BLVD, Flushing, NY 11358

Other Names 1

Doing Business AsNy Spine Care Interventional Pain Management

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

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 33D2028151

Ny Spine Care Interventional Pain Management · Flushing, NY
Active · expires Aug 9, 2027
CLIA Number33D2028151
Laboratory TypePhysician Office
Certificate Effective DateAugust 10, 2025
Certificate Expiration DateAugust 9, 2027
Laboratory DirectorDr. Ji H. Han
Laboratory Phone(718) 762-7000
Laboratory LocationNy Spine Care Interventional Pain Management188-16 Northern Blvd, Flushing, NY 11358
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 Ny Premier Medical Practice, PC's NPI number?

The NPI number for Ny Premier Medical Practice, PC is 1881986743. It was assigned to this organization in the NPPES registry on May 11, 2011. The provider is doing business as Ny Spine Care Interventional Pain Management.

Where is Ny Premier Medical Practice, PC located?

Ny Premier Medical Practice, PC is located at 188-16 Northern Blvd, Flushing, NY 11358. The listed phone number is (718) 762-7000.

What is Ny Premier Medical Practice, PC's specialty?

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

Does Ny Premier Medical Practice, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2028151) is associated with this NPI, valid through August 9, 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 Ny Premier Medical Practice, PC was last updated on August 1, 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.