Yonkers Spine Medicine PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

YONKERS SPINE MEDICINE PLLC

Practice address

1915 Central Park Ave Ste 205
Yonkers, NY 10710-2949

Phone

(914) 652-7543

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Michael Lackner, PANPI 1912208752

Title

Employee/Manager

Phone

(914) 720-7609

Specialties & licenses 1

Addresses

Practitioners 1

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

• Michael Joesph Lackner, P.A.

  • Physician Assistant
  • New York, NY
  • NPI 1912208752
  NPD Authorized official

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1275167082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 CENTRAL PARK AVE STE 205",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102949",
            "telephone_number": "914-652-7543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 CENTRAL PARK AVE STE 205",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107102949",
            "telephone_number": "914-652-7543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YONKERS SPINE MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "LACKNER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "EMPLOYEE/MANAGER",
        "authorized_official_telephone_number": "914-720-7609",
        "authorized_official_credential": "PA"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yonkers Public Schools
• Yonkers Radiation Medical Practice, PC
• Yonkers Radiology PC
• Yonkers Residential Center,Inc.
• Yonkers Service Center
• Yonkers Urology P.C.
• Young Adult Institute, Inc.
• Laura Elizabeth Young
• Your Health Medical Office PC
• Sahar Yousef

• Pain Medicine Physician in Yonkers, NY
• Providers in Yonkers, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.