Active NPI
Pain Management Medical Consultant PC
- Interventional Pain Medicine Physician
- Brooklyn, NY
National Provider Identifier
1346535036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 227390
- Legal business name
- PAIN MANAGEMENT MEDICAL CONSULTANT PC
- Practice address
- 1555 Rockaway Pkwy
Brooklyn, NY 11236-4001 - Phone
- (718) 927-6300
- Fax
- (718) 927-6301
- NPI assigned
- Jun 10, 2011
- 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
- Walaa Bahgat Housny, M.D.
- Title
- Owner
- Phone
- (718) 986-4075
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 227390 | NY | |
| Interventional Pain Medicine Physician | 208VP0014X | 227390 | NY | Primary |
Addresses
Primary practice location
1555 Rockaway Pkwy
Brooklyn, NY 11236-4001
Mailing address
PO Box 270
Massapequa Park, NY 11762-0270
Phone (631) 264-2035
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307664000000",
"number": "1346535036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "MASSAPEQUA PARK",
"state": "NY",
"postal_code": "117620270",
"telephone_number": "631-264-2035",
"fax_number": "631-264-1418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 ROCKAWAY PKWY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112364001",
"telephone_number": "718-927-6300",
"fax_number": "718-927-6301"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN MANAGEMENT MEDICAL CONSULTANT PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-10",
"last_updated": "2011-06-10",
"status": "A",
"authorized_official_last_name": "HOUSNY",
"authorized_official_first_name": "WALAA",
"authorized_official_middle_name": "BAHGAT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-986-4075",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "NY",
"license": "227390",
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NY",
"license": "227390",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.