Organization Active NPI

Anuthep Benja-Athon, MD, PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1225280696
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
160223 Issued in NY
Legal business name
ANUTHEP BENJA-ATHON, MD, PC
Practice address
210 E 36TH St
New York, NY 10016-3669
Phone
(212) 545-7075
Fax
(212) 545-7116
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Anuthep Benja-Athon, M.D.
Title
Physician
Phone
(212) 545-7075

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081P2900X 160223 NY Primary

Addresses

Primary practice location

210 E 36TH St
New York, NY 10016-3669

Mailing address

210 E 36TH St
New York, NY 10016-3669
Phone (212) 545-7075

Other identifiers 1

IdentifierTypeStateIssuer
01215567MedicaidNY

National Provider Directory

National Provider Directory

Locations

210 E 36th St
New York, NY 10016
Phone (212) 545-7075

NPI Registry JSON

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1225280696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 36TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163669",
            "telephone_number": "212-545-7075",
            "fax_number": "212-545-7116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 36TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163669",
            "telephone_number": "212-545-7075",
            "fax_number": "212-545-7116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANUTHEP BENJA-ATHON, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "BENJA-ATHON",
        "authorized_official_first_name": "ANUTHEP",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "212-545-7075",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "160223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01215567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.