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
Please provide the information requested below and click ENTER.
If you have problems using this site,
please contact Medicaid's fiscal agent, eMedNY call center at