Active NPI
Pain, Spine, and Sport Medicine, PC
- Pain Medicine Physician
- New City, NY
National Provider Identifier
1174042949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 148797
- Legal business name
- PAIN, SPINE, AND SPORT MEDICINE, PC
- Practice address
- 873 Route 45
New City, NY 10956-1116 - Phone
- (845) 570-5260
- NPI assigned
- Sep 13, 2017
- 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. Marc Rosenblatt, MD
- Title
- Owner
- Phone
- (845) 570-5260
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 148797 | NY | Primary |
Addresses
Primary practice location
873 Route 45
New City, NY 10956-1116
Mailing address
PO Box 489
Thiells, NY 10984-0489
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505260800000",
"number": "1174042949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 489",
"city": "THIELLS",
"state": "NY",
"postal_code": "109840489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "873 ROUTE 45",
"city": "NEW CITY",
"state": "NY",
"postal_code": "109561116",
"telephone_number": "845-570-5260"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN, SPINE, AND SPORT MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2017-09-13",
"last_updated": "2017-09-13",
"status": "A",
"authorized_official_last_name": "ROSENBLATT",
"authorized_official_first_name": "MARC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-570-5260",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "NY",
"license": "148797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.