Organization Active NPI

Pranevicius Medical P.C.

  • Pain Clinic/Center
  • New York, NY
National Provider Identifier
1245700111
Registry record updated Dec 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
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

Updated by the provider on Dec 4, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02196436MedicaidNY

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.