90th Street Surgical PLLC
NPI 1619795887ActiveOrganization· Pain Medicine, Interventional Pain Medicine· New York, NY
Pain Medicine, Interventional Pain Medicine in New York, New York, registered in NPPES in September 2024. The authorized official on file is David Davydov, OPA-C, Director.
Overview
| NPI | 1619795887 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2024 |
| Last updated in NPPES | Sep 27, 2024 |
| Certified by provider | Sep 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pain Medicine, Interventional Pain Medicine Primary | 208VP0014X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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