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Welcome to the NYS Medicaid Program web site to collect facility affiliated practitioner NPI(s) and Licenses.

The site is to be used by facilities to record with the NYS Medicaid Program NPIs and licenses for practitioners that are affiliated with the facility and might be included as a provider on claims submitted by the facility.

Please provide the information requested below and click ENTER. If you have problems using this site, please contact Medicaid's fiscal agent, Computer Sciences Corporation at 1-800-343-9000.


 Facility Validation

1. Image Verification

Enter the number as it is shown in the box above.

 


Note: If you currently have multiple NPIs, you will need to use this system again for each Facility NPI.

2. Facility NPI (10 characters):  

3. Please supply the Federal Employer Identification Number associated with the Facility NPI entered above:

Federal Employer Identification Number (9 characters):  

 

Press the enter key when completed  

 

 

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