NPIMap

Organization Active NPI

Pain Medicine & Rehabilitation Specialists

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Lancaster, PA
National Provider Identifier
1245356138
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084P2900X
Legal business name
PAIN MEDICINE & REHABILITATION SPECIALISTS
Practice address
160 N Pointe Blvd
Suite 113
Lancaster, PA 17601-4134
Phone
(717) 560-4480
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Dr. Randy A Cohen, D.O
Title
Physician Owner
Phone
(717) 560-4480

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Psychiatry & Neurology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P2900X Primary

Addresses

Primary practice location

160 N Pointe Blvd
Suite 113
Lancaster, PA 17601-4134

Mailing address

160 N Pointe Blvd
Suite 113
Lancaster, PA 17601-4134
Phone (717) 560-4480

Other identifiers 3

IdentifierTypeStateIssuer
260376OtherPAHEALTHAMERICA
02856300OtherPACAPITAL BC
8135929OtherPACIGNA

Other names 1

  • Conestoga Rehabilitation Associates Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Conestoga Rehabilitation Associates2 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

160 N Pointe Blvd
Ste 113
Lancaster, PA 17601
Phone (717) 560-4480

NPI Registry JSON

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1245356138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD",
            "address_2": "SUITE 113",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-560-4480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 N POINTE BLVD",
            "address_2": "SUITE 113",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176014134",
            "telephone_number": "717-560-4480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE & REHABILITATION SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "717-560-4480",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "2084P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHAMERICA",
            "identifier": "260376",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BC",
            "identifier": "02856300",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "8135929",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Conestoga Rehabilitation Associates",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lancaster, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; 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.