NY SPINE CARE INTERVENTIONAL PAIN MANAGEMENT
NPI 1881986743
Pain Medicine - Interventional Pain Medicine in Flushing, NY
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
Specialties & Licenses
Other Names 1
Group Practice 1
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)
Ny Spine Care Interventional Pain Management is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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.
Clinicians Billing Medicare Through This Organization
6Medicare enrollment records show 6 clinicians reassign Medicare billing to Ny Spine Care Interventional Pain Management, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (6)
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 33D2028151
Ny Spine Care Interventional Pain Management · Flushing, 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 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.
Is Ny Premier Medical Practice, PC enrolled in Medicare?
Yes. Ny Premier Medical Practice, PC is registered in the Medicare PECOS enrollment system.
When is Ny Premier Medical Practice, PC'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 November 30, 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 Ny Premier Medical Practice, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Ny Premier Medical Practice, 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. The largest specialties are Anesthesiology (4), Nurse Practitioner (1) and Pain Management (1). Of these, 1 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
# Ny Spine Care Interventional Pain Management · NPI 1881986743
Interventional Pain Medicine organization in Flushing, New York. Organization record, active in the CMS NPPES registry since May 11, 2011.
## Identity
- **NPI:** 1881986743 (Entity type: Organization)
- **Enumerated:** May 11, 2011
- **Primary specialty:** Pain Medicine - Interventional Pain Medicine · taxonomy 208VP0014X
- **Legal business name:** Ny Premier Medical Practice, Pc
- **Organization subpart:** No
- **Authorized official:** Michael Jo, OFFICE MANAGER
## Practice location
- **Address:** 188-16 NORTHERN BLVD, Flushing, NY 11358-2811
- **Phone:** (718) 762-7000 · **Fax:** (718) 762-7002
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 6 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Anesthesiology (4), Nurse Practitioner (1), Pain Management (1); 1 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 1, 2023
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1881986743) · Data from the CMS NPPES public registry.