NPIMap

Organization Active NPI

East Coast Pain Management P.C.

  • Interventional Pain Medicine Physician
  • Wappingers Falls, NY
National Provider Identifier
1033391107
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
189011 Issued in NY
Legal business name
EAST COAST PAIN MANAGEMENT P.C.
Practice address
1207 Route 9 Ste 11
Wappingers Falls, NY 12590-4987
Phone
(845) 297-3200
Fax
(845) 297-7891
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Dr. Gladys E Cardenas, M.D.
Title
President
Phone
(845) 297-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 189011 NY Primary

Addresses

Primary practice location

1207 Route 9 Ste 11
Wappingers Falls, NY 12590-4987

Mailing address

1207 Route 9 Ste 11
Wappingers Falls, NY 12590-4987
Phone (845) 297-3200

National Provider Directory

National Provider Directory

Locations

200 S Ridge St
Rye Brook, NY 10573
Phone (845) 297-3200

1207 Route 9
Ste 4
Wappingers Fl, NY 12590
Phone (845) 297-3200

Practitioners & affiliated clinicians

Practitioners 8

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": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1033391107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 ROUTE 9 STE 11",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904987",
            "telephone_number": "845-297-3200",
            "fax_number": "845-297-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 ROUTE 9 STE 11",
            "city": "WAPPINGERS FALLS",
            "state": "NY",
            "postal_code": "125904987",
            "telephone_number": "845-297-3200",
            "fax_number": "845-297-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COAST PAIN MANAGEMENT P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "CARDENAS",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-297-3200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "189011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wappingers Falls, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.