Organization Active NPI

John Akhnoukh Medicine, PLLC

  • Pain Medicine (Anesthesiology) Physician
  • New York, NY
National Provider Identifier
1104531227
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Jan 23, 2023

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

Authorized official

Name
John Akhnoukh, MDNPI 1427445253
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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230309001031 NY Part B Supplier - Clinic/Group Practice 1254704430 Receives reassigned benefits from 1 practitioner
Practice locations: North New Hyde Park, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.