Active NPI
Bimc Faculty Practice
- Pain Medicine Physician
- New York, NY
National Provider Identifier
1275736670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- BIMC FACULTY PRACTICE
- Practice address
- 10 Union SQ E
Suite 4 K
New York, NY 10003-3314 - Phone
- (212) 844-8930
- NPI assigned
- Jun 6, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucia Gonzalez
- Title
- Provider Enrollment Manager
- Phone
- (646) 605-4155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
10 Union SQ E
Suite 4 K
New York, NY 10003-3314
Mailing address
150 E 42ND St
5TH Floor
New York, NY 10017-5612
Phone (646) 605-4155
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453420800000",
"number": "1275736670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 E 42ND ST",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100175612",
"telephone_number": "646-605-4155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 UNION SQ E",
"address_2": "SUITE 4 K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100033314",
"telephone_number": "212-844-8930"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIMC FACULTY PRACTICE",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-06",
"last_updated": "2016-01-22",
"status": "A",
"authorized_official_last_name": "GONZALEZ",
"authorized_official_first_name": "LUCIA",
"authorized_official_title_or_position": "PROVIDER ENROLLMENT MANAGER",
"authorized_official_telephone_number": "646-605-4155"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.