Y a Anesthesia Pain Management PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

209053 Issued in NY

Legal business name

Y A ANESTHESIA PAIN MANAGEMENT PLLC

Practice address

3930 Richmond Ave
Suite 101
Staten Island, NY 10312-5104

Phone

(917) 414-0617

Fax

(732) 847-3062

NPI assigned

Apr 28, 2010

Organization subpart

No

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

Authorized official

Name

Yvette R Abraham, M.D.

Title

Owner

Phone

(917) 414-0617

Specialties & licenses 1

Addresses

Practitioners 1

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

• Mary-Ann Abraham, M.D.

  • Geriatric Psychiatry Physician
  • Sacramento, CA
  • NPI 1437503117
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417996800000",
    "number": "1104143361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 OAKWOOD CT",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331753",
            "telephone_number": "917-414-0617",
            "fax_number": "732-847-3062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3930 RICHMOND AVE",
            "address_2": "SUITE 101",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103125104",
            "telephone_number": "917-414-0617",
            "fax_number": "732-847-3062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "Y A ANESTHESIA PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2014-12-08",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "YVETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-414-0617",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "209053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yueyuan Xie
• Lin Xu, N/A
• Luna Xu, M.D.
• Wei Xue
• Kevin Michael Xuereb, PMHNP BC
• Y Miller LMSW Services
• Y.M.C.a
• Ya-Tseng William Lu, M.D., PLLC
• Dikshya Yadav
• Yaghi Smile

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 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.