Organization Active NPI

Ny Spine Medicine Florida PLLC

  • Interventional Pain Medicine Physician
  • Miami Beach, FL
National Provider Identifier
1013799113
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
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

Updated by the provider on Oct 16, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Douglas SchottensteinNPI 1780617076
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)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20231215000234 FL Part B Supplier - Clinic/Group Practice 0648629667 Receives reassigned benefits from 1 practitioner
Practice locations: Miami Beach, FL

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.