Organization Active NPI

Hudson Pain Medicine, P.C

  • Pain Medicine (Anesthesiology) Physician
  • Middletown, NY
National Provider Identifier
1316670946
Registry record updated Jul 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on Jul 1, 2022

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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
235169OtherNYSTATE LICENSE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.