Active NPI
Pain Medicine PC
- Pain Medicine Physician
- Garden City, NY
National Provider Identifier
1184467482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- PAIN MEDICINE PC
- Practice address
- 585 Stewart Ave Ste 412
Garden City, NY 11530-4701 - Phone
- (516) 794-2990
- Fax
- (516) 794-2994
- NPI assigned
- Jun 14, 2024
- 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
- Randa Jaafar
- Title
- MD
- Phone
- (516) 794-2990
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
585 Stewart Ave Ste 412
Garden City, NY 11530-4701
Mailing address
116 Sandford St
Brooklyn, NY 11205-2987
Phone (516) 794-2990
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.
-
- Pain Medicine (Anesthesiology) Physician
- New York, NY
- NPI 1619126208
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718323200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718323200000",
"number": "1184467482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 SANDFORD ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112052987",
"telephone_number": "516-794-2990",
"fax_number": "516-794-2994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 STEWART AVE STE 412",
"city": "GARDEN CITY",
"state": "NY",
"postal_code": "115304701",
"telephone_number": "516-794-2990",
"fax_number": "516-794-2994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-14",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A",
"authorized_official_last_name": "JAAFAR",
"authorized_official_first_name": "RANDA",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "516-794-2990"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.