Brooklyn Pain Management PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

101301 Issued in NY

Legal business name

BROOKLYN PAIN MANAGEMENT PC

Practice address

370 Bay Ridge Pkwy
Brooklyn, NY 11209-3176

Phone

(718) 302-1111

Fax

(718) 506-9702

NPI assigned

Aug 14, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Mehrdad Hedayatnia, MDNPI 1679565063

Title

Owner

Phone

(718) 302-1111

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 6

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

• Mehrdad Hedayatnia, MD

  • Pain Medicine (Anesthesiology) Physician
  • Brooklyn, NY
  • NPI 1679565063
  Medicare reassignment Care Compare group NPD Authorized official
• Marsha Fridman, NP

  • Family Nurse Practitioner
  • Brooklyn, NY
  • NPI 1811052681
  Medicare reassignment Care Compare group NPD
• Laurian Jacoby, MD

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
  • NPI 1851327308
  Medicare reassignment Care Compare group NPD
• Joy Therese Mullen, RN, NP

  • Adult Health Nurse Practitioner
  • Brooklyn, NY
  • NPI 1003165911
  Medicare reassignment Care Compare group NPD
• Michael Steven Shapiro, MD

  • Vascular Surgery Physician
  • Brooklyn, NY
  • NPI 1184888968
  Medicare reassignment Care Compare group NPD
• Salah Eldin Mohamed, MD

  • Interventional Pain Medicine Physician
  • Brooklyn, NY
  • NPI 1225456759
  Medicare reassignment NPD

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376438400000",
    "number": "1306279203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093176",
            "telephone_number": "718-302-1111",
            "fax_number": "718-506-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 BAY RIDGE PKWY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112093176",
            "telephone_number": "718-302-1111",
            "fax_number": "718-506-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BROOKLYN PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2013-08-14",
        "status": "A",
        "authorized_official_last_name": "HEDAYATNIA",
        "authorized_official_first_name": "MEHRDAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-302-1111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "101301",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "101301",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2013; 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.