Organization Active NPI

Ny Pain Practice LLC

  • Neuromusculoskeletal Medicine & OMM Physician
  • Bronx, NY
National Provider Identifier
1083032916
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
223679 Issued in NY
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

Updated by the provider on Oct 24, 2014

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)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.