NPIMap

Organization Active NPI

Physician Pain Treatment Associates, PC

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1124193883
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
208981 Issued in NY
Legal business name
PHYSICIAN PAIN TREATMENT ASSOCIATES, PC
Practice address
132 Atlantic Ave
Brooklyn, NY 11201-5502
Phone
(718) 935-9666
Fax
(718) 935-9667
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alexander Mauskop, MDNPI 1962629147
Title
Director
Phone
(212) 794-3550

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
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 208981 NY Primary

Addresses

Primary practice location

132 Atlantic Ave
Brooklyn, NY 11201-5502

Mailing address

132 Atlantic Ave
Brooklyn, NY 11201-5502
Phone (718) 935-9666

Other identifiers 11

IdentifierTypeStateIssuer
33654POtherNYHIP
2362189OtherNYAUSHC
MA8981OtherNYATLANTIS HEALTH PLAN
598281OtherNYBLUE CROSS BLUE SHIELD
H01109OtherNYGUILD TIMES BENEFIT FUND
2509192OtherNYGHI
1763439OtherNYFIRST HEALTH
2362189OtherNYAETNA
171319OtherNYELDER PLAN
3953580002OtherNYCIGNA
H01109OtherNYDOCTORS CARE NETWORK

Other names 1

  • New York Headache Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
New York Headache Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

132 Atlantic Ave
Brooklyn, NY 11201
Phone (718) 935-9666

30 E 76th St
Fl 2
New York, NY 10021
Phone (212) 794-3550

30 E 76th St
Ste 2
New York, NY 10021

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.61756

Practitioners & affiliated clinicians

Practitioners 8

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": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124193883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015502",
            "telephone_number": "718-935-9666",
            "fax_number": "718-935-9667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 ATLANTIC AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015502",
            "telephone_number": "718-935-9666",
            "fax_number": "718-935-9667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN PAIN TREATMENT ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MAUSKOP",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "212-794-3550",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "208981",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "33654P",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AUSHC",
            "identifier": "2362189",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATLANTIS HEALTH PLAN",
            "identifier": "MA8981",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "598281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GUILD TIMES BENEFIT FUND",
            "identifier": "H01109",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2509192",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH",
            "identifier": "1763439",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2362189",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDER PLAN",
            "identifier": "171319",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "3953580002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DOCTORS CARE NETWORK",
            "identifier": "H01109",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New York Headache Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.