Organization Active NPI

Schottenstein Pain & Neuro, PLLC

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1316184153
Registry record updated Dec 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
232232 Issued in NY
Legal business name
SCHOTTENSTEIN PAIN & NEURO, PLLC
Practice address
18 E 48TH St
Suite 901
New York, NY 10017-1014
Phone
(212) 750-1155
Fax
(212) 750-1170
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2012

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

Authorized official

Name
Dr. Doug Schottenstein, M.D.
Title
Owner
Phone
(212) 750-1110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X 232232 NY Primary

Addresses

Primary practice location

18 E 48TH St
Suite 901
New York, NY 10017-1014

Mailing address

18 E 48TH St
Suite 901
New York, NY 10017-1014
Phone (212) 750-1155

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100209000212 NY Part B Supplier - Clinic/Group Practice 5496898751 Receives reassigned benefits from 1 practitioner
Practice locations: New York, 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
33D2003372Schottenstein Pain and Neuro, PLLC18 East 48TH Street Suite 901, New York, NY 10017AccreditationApr 5, 2028

National Provider Directory

National Provider Directory

Locations

18 E 48th St
Rm 901
New York, NY 10017
Phone (212) 750-1155

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": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354579200000",
    "number": "1316184153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 E 48TH ST",
            "address_2": "SUITE 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171014",
            "telephone_number": "212-750-1155",
            "fax_number": "212-750-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 E 48TH ST",
            "address_2": "SUITE 901",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171014",
            "telephone_number": "212-750-1155",
            "fax_number": "212-750-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCHOTTENSTEIN PAIN & NEURO, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2012-12-04",
        "status": "A",
        "authorized_official_last_name": "SCHOTTENSTEIN",
        "authorized_official_first_name": "DOUG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-750-1110",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "232232",
            "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 Dec 4, 2012; 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.