Musculoskeletal Pain Management PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

231223 Issued in NY

Legal business name

MUSCULOSKELETAL PAIN MANAGEMENT PC

Practice address

257 S Middletown Rd
Nanuet, NY 10954-3360

Phone

(845) 623-8000

Fax

(845) 623-0770

NPI assigned

Jul 9, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Deepak Vasishtha, MDNPI 1114950540

Title

President

Phone

(845) 623-8000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Deepak Vasishtha, MD

  • Physical Medicine & Rehabilitation Physician
  • Nanuet, NY
  • NPI 1114950540
  Medicare reassignment NPD Authorized official
• Roger Jose, PT

  • Physical Therapist
  • Nanuet, NY
  • NPI 1700256377
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355356800000",
    "number": "1013940444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "10954",
            "telephone_number": "845-623-8000",
            "fax_number": "845-623-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 S MIDDLETOWN RD",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543360",
            "telephone_number": "845-623-8000",
            "fax_number": "845-623-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSCULOSKELETAL PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-09",
        "last_updated": "2012-12-13",
        "status": "A",
        "authorized_official_last_name": "VASISHTHA",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-623-8000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "231223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristi Morris
• Jay Terry Muenzer
• Mertella Elizabeth Munroe, LPN
• Brittany Murroni
• Mary Katherine Murtha, LPN
• Myobility, Inc
• Myung K Kim Acupuncture PC
• Daniela Naclerio, MS, OTR/L
• Nancy J. Schiffman, OD PC.
• Nanuet Community Ambulance Corps, Inc.

• Physical Medicine & Rehabilitation Physician in Nanuet, NY
• Providers in Nanuet, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2012; 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.