Knox Pain Management Medical Practice PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

KNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC

Practice address

340 Route 202
Somers, NY 10589-3237

Phone

(845) 254-1155

Fax

(631) 736-1332

NPI assigned

Aug 30, 2021

Organization subpart

No

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

Authorized official

Name

Jenny Newcomb

Title

Office

Phone

(631) 736-4064

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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

• Nigel Knox, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Valhalla, NY
  • NPI 1891134532

  NY, Pain Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1630281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1104593870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ROUTE 202",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893237",
            "telephone_number": "845-254-1155",
            "fax_number": "631-736-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 ROUTE 202",
            "city": "SOMERS",
            "state": "NY",
            "postal_code": "105893237",
            "telephone_number": "845-254-1155",
            "fax_number": "631-736-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KNOX PAIN MANAGEMENT MEDICAL PRACTICE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-30",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "NEWCOMB",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "OFFICE",
        "authorized_official_telephone_number": "631-736-4064"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05241869",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SOMERS",
            "affiliation": "N",
            "endpointDescription": "OFFICE",
            "address_1": "340 Route 202",
            "city": "Somers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105893237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael M Karol, DDS
• Kim Schwartz LCSW PLLC
• Jin Hyun Kim, L.AC
• Rebecca Ann Kleban, MD
• Daniel Peter Klein, DPT
• Andrea Jill Kropf, OD
• Jessica Labella
• Jennifer Lynn Laemmel
• Daniel Laukitis, PH.D
• Justina Lee

• All providers in Somers, NY
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.