Organization Active NPI

Unique Pain Medicine PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1265735344
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
251416 Issued in NY
Legal business name
UNIQUE PAIN MEDICINE PLLC
Practice address
626 Sheepshead Bay Rd Ste 520
Brooklyn, NY 11224-3606
Phone
(929) 363-0303
NPI assigned
Dec 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Authorized official

Name
Dr. Mila Mogilevsky, MDNPI 1518152305
Title
Medical Director
Phone
(929) 363-0303

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 251416 NY Primary

Addresses

Primary practice location

626 Sheepshead Bay Rd Ste 520
Brooklyn, NY 11224-3606

Mailing address

1204 Avenue U Ste 1075
Brooklyn, NY 11229-4107
Phone (929) 363-0303

Other practice location 1

369 Lexington Ave Rm 800
New York, NY 10017-6536
Phone (929) 363-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110415000063 NY Part B Supplier - Clinic/Group Practice 4688858616 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY; New York, NY
O20150422000744 NY DME Supplier - Physician - Physical and Rehabilitation 4688858616 Practice locations: Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2027321Unique Pain Medicine, PLLC626 Sheepshead Bay Road - Ste 520, Brooklyn, NY 11224Certificate of waiverJul 20, 2027

National Provider Directory

National Provider Directory

Locations

1599 E 15th St
Ste 2
Brooklyn, NY 11230
Phone (347) 252-6732

626 Sheepshead Bay Rd
Ste 5
Brooklyn, NY 11224

1204 Avenue U
Ste 1075
Brooklyn, NY 11229

49 N Franklin St
Hempstead, NY 11550
Phone (516) 292-3111

369 Lexington Ave
Fl 19
New York, NY 10017
Phone (212) 779-2944

Practitioners & affiliated clinicians

Practitioners 12

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

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602460800000",
    "number": "1265735344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1204 AVENUE U STE 1075",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294107",
            "telephone_number": "929-363-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 SHEEPSHEAD BAY RD STE 520",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112243606",
            "telephone_number": "929-363-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "369 Lexington Ave Rm 800",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100176536",
            "country_code": "US",
            "telephone_number": "929-363-0303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "UNIQUE PAIN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-13",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A",
        "authorized_official_last_name": "MOGILEVSKY",
        "authorized_official_first_name": "MILA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "929-363-0303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "251416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.