Active NPI
Ny Pain Practice LLC
- Neuromusculoskeletal Medicine & OMM Physician
- Bronx, NY
National Provider Identifier
1083032916
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 223679
- Legal business name
- NY PAIN PRACTICE LLC
- Practice address
- 4287 Katonah Ave
Bronx, NY 10470-2122 - Phone
- (646) 379-8940
- NPI assigned
- Mar 28, 2014
- 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
- Angela Stroe, D.O.
- Title
- Officer
- Phone
- (914) 384-3746
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 223679 | NY | Primary |
Addresses
Primary practice location
4287 Katonah Ave
Bronx, NY 10470-2122
Mailing address
4287 Katonah Ave
Bronx, NY 10470-2122
Phone (646) 379-8940
National Provider Directory
National Provider DirectoryLocations
4287 Katonah Ave
Bronx, NY 10470
Phone (646) 379-8940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395964800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414108800000",
"number": "1083032916",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4287 KATONAH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104702122",
"telephone_number": "646-379-8940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4287 KATONAH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104702122",
"telephone_number": "646-379-8940"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NY PAIN PRACTICE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-03-28",
"last_updated": "2014-10-24",
"status": "A",
"authorized_official_last_name": "STROE",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "914-384-3746",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "NY",
"license": "223679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.