Active NPI
Pranevicius Medical P.C.
- Pain Clinic/Center
- New York, NY
National Provider Identifier
1245700111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- Legal business name
- PRANEVICIUS MEDICAL P.C.
- Practice address
- 300 Albany St Apt 6E
New York, NY 10280-1452 - Phone
- (917) 769-7413
- NPI assigned
- Dec 4, 2018
- 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
- Osvaldas Pranevicius, MD
- Title
- President
- Phone
- (917) 769-7413
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | Primary |
Addresses
Primary practice location
300 Albany St Apt 6E
New York, NY 10280-1452
Mailing address
300 Albany St Apt 6E
New York, NY 10280-1452
Phone (917) 769-7413
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02196436 | Medicaid | NY |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1543881600000",
"number": "1245700111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ALBANY ST APT 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102801452",
"telephone_number": "917-769-7413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ALBANY ST APT 6E",
"city": "NEW YORK",
"state": "NY",
"postal_code": "102801452",
"telephone_number": "917-769-7413"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRANEVICIUS MEDICAL P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2018-12-04",
"last_updated": "2018-12-04",
"status": "A",
"authorized_official_last_name": "PRANEVICIUS",
"authorized_official_first_name": "OSVALDAS",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-769-7413",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02196436",
"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 4, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.