Active NPI
New York Spine and Pain Management, P.C.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Howard Beach, NY
National Provider Identifier
1154427359
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- NEW YORK SPINE AND PAIN MANAGEMENT, P.C.
- Practice address
- 15144 82ND St
Howard Beach, NY 11414-1777 - Phone
- (718) 738-2550
- Fax
- (718) 738-6644
- NPI assigned
- Sep 15, 2006
- 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
- Dr. Glenn Goldstein, D.O.
- Title
- President
- Phone
- (718) 738-2550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | NY | Primary |
Addresses
Primary practice location
15144 82ND St
Howard Beach, NY 11414-1777
Mailing address
15144 82ND St
Howard Beach, NY 11414-1777
Phone (718) 738-2550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & 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": "1158278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217462400000",
"number": "1154427359",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15144 82ND ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114141777",
"telephone_number": "718-738-2550",
"fax_number": "718-738-6644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15144 82ND ST",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114141777",
"telephone_number": "718-738-2550",
"fax_number": "718-738-6644"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW YORK SPINE AND PAIN MANAGEMENT, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-15",
"last_updated": "2008-07-31",
"status": "A",
"authorized_official_last_name": "GOLDSTEIN",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-738-2550",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; 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.