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ny medicaid file. change /update your taxpayer address - address to which is mailed: • add a fein – individual – not self incorporated – (irs letter is in your personal  complete the form using your name, i.e. john smith md) individual npi  enter the fein in the space provided, leave the ssn box blank

medicine). organizational npi,  if you have not enrolled as a group with nys medicaid, under your organizational npi, this form as listed on your file cannot be used to add a fein. you must enroll as a group. the group application is available at  enter the fein in the space provided, leave the ssn box blank...

https://www.emedny.org/info/ProviderEnrollment/ProviderMaintForms/610501_FFSTaXUPDT_Fee_For_Service_Taxpayer_address_Update_Form.pdf