Active NPI
John Akhnoukh Medicine, PLLC
- Pain Medicine (Anesthesiology) Physician
- New York, NY
National Provider Identifier
1104531227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- JOHN AKHNOUKH MEDICINE, PLLC
- Practice address
- 800 2ND Ave RM 802
New York, NY 10017-9259 - Phone
- (516) 229-1443
- NPI assigned
- Jan 23, 2023
- 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
- John Akhnoukh, MD
- Title
- Owner/Ceo/Provider
- Phone
- (917) 930-2668
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
800 2ND Ave RM 802
New York, NY 10017-9259
Mailing address
12 Center Dr
Roslyn, NY 11576-1402
Other practice location 1
1991 Marcus Ave Ste M217
North New Hyde Park, NY 11042-2040
Phone (516) 229-1443
Other names 1
- Empire Minimally Invasive Spine and Pain
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1991 Marcus Ave
Ste M217
North New Hyde Pk, NY 11042
Phone (516) 482-1100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1427445253
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674432000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1674432000000",
"number": "1104531227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 CENTER DR",
"city": "ROSLYN",
"state": "NY",
"postal_code": "115761402"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 2ND AVE RM 802",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100179259",
"telephone_number": "516-229-1443"
}
],
"practiceLocations": [
{
"address_1": "1991 Marcus Ave Ste M217",
"address_purpose": "LOCATION",
"city": "North New Hyde Park",
"state": "NY",
"postal_code": "110422040",
"country_code": "US",
"telephone_number": "516-229-1443",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "JOHN AKHNOUKH MEDICINE, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-01-23",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A",
"authorized_official_last_name": "AKHNOUKH",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "OWNER/CEO/PROVIDER",
"authorized_official_telephone_number": "917-930-2668",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Empire Minimally Invasive Spine and Pain",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.