Douglas Allen, DO PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

235254 Issued in NY

Legal business name

DOUGLAS ALLEN, DO PC

Practice address

425 Madison Ave
11TH FL
New York, NY 10017

Phone

(212) 245-7900

NPI assigned

Aug 18, 2008

Last updated

Oct 7, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sadiya Abbas

Title

Credentialing Manager

Phone

(212) 245-7900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Douglas Allen, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
  • NPI 1700975240
  Medicare reassignment NPD

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317945600000",
    "number": "1023264363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "11TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "11TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10017",
            "telephone_number": "212-245-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS ALLEN, DO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-18",
        "last_updated": "2011-10-07",
        "status": "A",
        "authorized_official_last_name": "ABBAS",
        "authorized_official_first_name": "SADIYA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "212-245-7900"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "235254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mickaelle Dougherty, PHD
• Shawn Dougherty, LMSW
• Veronica Dougherty
• Bongi Nkyru Doughty
• Douglas a Schwartz, D.O., P.C. Eastside Medical Group
• Douglas B. Friedrich, MD, P. C.
• Douglas B. Friedrich, MD, P.C.
• Douglas B. Seckendorf DC PC
• Douglas H Bailyn, MD, PC
• Douglas J Vander Heide MDPC

• Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2011; 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.