Coastal Interventional Pain Management LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

COASTAL INTERVENTIONAL PAIN MANAGEMENT LLC

Practice address

929 Boston Post Rd
Old Saybrook, CT 06475-2143

Phone

(203) 296-2016

NPI assigned

Dec 11, 2020

Last updated

Dec 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Honghui Feng, MDNPI 1649224676

Title

Owner

Phone

(203) 296-2016

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Honghui Feng, M.D.

  • Anesthesiology Physician
  • Old Saybrook, CT
  • NPI 1649224676
  NPD Authorized official

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607644800000",
    "number": "1245836444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 THOMAS WAITE RD",
            "city": "OLD LYME",
            "state": "CT",
            "postal_code": "063711546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 BOSTON POST RD",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752143",
            "telephone_number": "203-296-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COASTAL INTERVENTIONAL PAIN MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A",
        "authorized_official_last_name": "FENG",
        "authorized_official_first_name": "HONGHUI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-296-2016",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Marie Chianelli
• Tinnysha A Chopra, DDS
• Kayla Chouinard, PHARM.D.
• Eugene M Clifford, DDS
• Coastal Communication Center LLC
• Patricia A Colella, LCSW
• Community Health Center Inc.
• Kathryn Condulis, P.T.
• Connaughty Chiropractic Center
• Austin James Connaughty, D.C.

• Pain Medicine Physician in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Pain Medicine Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; 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.