Organization Active NPI

New York Pain Management Group, PLLC

  • Pain Medicine Physician
  • Bronx, NY
National Provider Identifier
1295845220
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
225389 Issued in NY
Legal business name
NEW YORK PAIN MANAGEMENT GROUP, PLLC
Practice address
1250 Waters PL
Suite 508
Bronx, NY 10461-2720
Phone
(888) 789-6672
Fax
(646) 862-9066
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Dr. Conrad Fritz Cean, MD
Title
Owner
Phone
(646) 554-0997

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 225389 NY Primary

Addresses

Primary practice location

1250 Waters PL
Suite 508
Bronx, NY 10461-2720

Mailing address

1400 5TH Ave
Suite 3E
New York, NY 10026-2584
Phone (646) 554-0997

National Provider Directory

National Provider Directory

Locations

3250 Westchester Ave
Rm 101
Bronx, NY 10461
Phone (718) 518-9304

1250 Waters Pl
Ste 508
Bronx, NY 10461
Phone (800) 975-5109

Practitioners & affiliated clinicians

Practitioners 1

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": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1295845220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 5TH AVE",
            "address_2": "SUITE 3E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100262584",
            "telephone_number": "646-554-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL",
            "address_2": "SUITE 508",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612720",
            "telephone_number": "888-789-6672",
            "fax_number": "646-862-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PAIN MANAGEMENT GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "CEAN",
        "authorized_official_first_name": "CONRAD",
        "authorized_official_middle_name": "FRITZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-554-0997",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "225389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.