Active NPI
Hudson Pain Medicine, P.C
- Pain Medicine (Anesthesiology) Physician
- Middletown, NY
National Provider Identifier
1316670946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- HUDSON PAIN MEDICINE, P.C
- Practice address
- 400 Route 211 E Ste 12
Middletown, NY 10940-2123 - Phone
- (845) 381-1164
- NPI assigned
- Jul 1, 2022
- 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
- Chinweike Izeogu, MD
- Title
- Provider
- Phone
- (845) 381-1164
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
400 Route 211 E Ste 12
Middletown, NY 10940-2123
Mailing address
400 Route 211 E Ste 12
Middletown, NY 10940-2123
Phone (845) 381-1164
Other practice location 1
4140 Junction Blvd
Corona, NY 11368-3584
Phone (718) 433-9313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 235169 | Other | NY | STATE LICENSE |
National Provider Directory
National Provider DirectoryLocations
400 Route 211 E
Ste 12
Middletown, NY 10940
Phone (201) 957-5864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1656633600000",
"number": "1316670946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 ROUTE 211 E STE 12",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402123",
"telephone_number": "845-381-1164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 ROUTE 211 E STE 12",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109402123",
"telephone_number": "845-381-1164"
}
],
"practiceLocations": [
{
"address_1": "4140 Junction Blvd",
"address_purpose": "LOCATION",
"city": "Corona",
"state": "NY",
"postal_code": "113683584",
"country_code": "US",
"telephone_number": "718-433-9313",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HUDSON PAIN MEDICINE, P.C",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A",
"authorized_official_last_name": "IZEOGU",
"authorized_official_first_name": "CHINWEIKE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "845-381-1164",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "235169",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.