New York Pain Relief Medicine PLLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

NEW YORK PAIN RELIEF MEDICINE PLLC

Practice address

1673 Sherbourne Rd
Valley Stream, NY 11580-1829

Phone

(917) 724-1886

Fax

(347) 227-1368

NPI assigned

Jan 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Suelane DO Ouro, M.D.NPI 1114908845

Title

Owner/Physician

Phone

(917) 724-1886

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Suelane Sousa DO Ouro, MD

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1114908845
  Medicare reassignment Care Compare group NPD Authorized official
• Asya Shtofmakher, MS, PA-C

  • Physician Assistant
  • New York, NY
  • NPI 1033662473
  Medicare reassignment Care Compare group
• Laryssa DO Ouro-Rodrigues, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1285263061
  NPD (past)

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

{
    "created_epoch": "1420588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420588800000",
    "number": "1255729794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1673 SHERBOURNE RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801829",
            "telephone_number": "917-724-1886",
            "fax_number": "347-227-1368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1673 SHERBOURNE RD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115801829",
            "telephone_number": "917-724-1886",
            "fax_number": "347-227-1368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PAIN RELIEF MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-07",
        "last_updated": "2015-01-07",
        "status": "A",
        "authorized_official_last_name": "DO OURO",
        "authorized_official_first_name": "SUELANE",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "917-724-1886",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• New York Physical Therapy, P.C.
• New York Rehabilitative Services
• Dayna Eden Newman I
• Next Level Professsional Services
• Next Step Occupational Therapy

• Interventional Pain Medicine Physician in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.