Active NPI
Ny Spine Medicine Florida PLLC
- Interventional Pain Medicine Physician
- Miami Beach, FL
National Provider Identifier
1013799113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- NY SPINE MEDICINE FLORIDA PLLC
- Practice address
- 555 Washington Ave Ste 370
Miami Beach, FL 33139-6643 - Phone
- (212) 750-1155
- NPI assigned
- Oct 16, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas Schottenstein
- Title
- MD
- Phone
- (212) 750-1155
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | Primary |
Addresses
Primary practice location
555 Washington Ave Ste 370
Miami Beach, FL 33139-6643
Mailing address
555 Washington Ave Ste 370
Miami Beach, FL 33139-6643
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
555 Washington Ave
Ste 370
Miami Beach, FL 33139
Phone (212) 750-1155
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697414400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1697414400000",
"number": "1013799113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 WASHINGTON AVE STE 370",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 WASHINGTON AVE STE 370",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331396643",
"telephone_number": "212-750-1155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NY SPINE MEDICINE FLORIDA PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-16",
"last_updated": "2023-10-16",
"certification_date": "2023-10-14",
"status": "A",
"authorized_official_last_name": "SCHOTTENSTEIN",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "212-750-1155",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.