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

Last updated

Dec 8, 2014By 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

Yvette R Abraham, M.D.NPI 1568406452

Title

Owner

Phone

(917) 414-0617

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Yvette R Abraham, MD

  • Interventional Pain Medicine Physician
  • Staten Island, NY
  • NPI 1568406452
  Authorized official Same address or phone
• 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.