Northern Interventional Medical PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

NORTHERN INTERVENTIONAL MEDICAL PC

Practice address

15001 Northern Blvd FL 1
Flushing, NY 11354-3896

Phone

(732) 261-0720

Fax

(866) 461-8194

NPI assigned

Aug 14, 2019

Last updated

Aug 14, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John S Cho, MD

Title

Owner

Phone

(201) 960-4259

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565740800000",
    "number": "1336795434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 NORTHERN BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543896",
            "telephone_number": "732-261-0720",
            "fax_number": "866-461-8194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15001 NORTHERN BLVD FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113543896",
            "telephone_number": "732-261-0720",
            "fax_number": "866-461-8194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN INTERVENTIONAL MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A",
        "authorized_official_last_name": "CHO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-960-4259",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "FLUSHING",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "15001 Northern Blvd Fl 1",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113543896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pain Medicine (Anesthesiology) Physician in Flushing, NY
• Providers in Flushing, 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, 2019; 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.