Active NPI
Pain and Spine Care
- Physical Medicine & Rehabilitation Physician
- Endwell, NY
National Provider Identifier
1356721070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- Legal business name
- PAIN AND SPINE CARE
- Practice address
- 409 Hooper Rd
Endwell, NY 13760-3661 - Phone
- (301) 326-5397
- Fax
- (607) 429-0244
- NPI assigned
- Jun 8, 2015
- 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
- Dr. Sajid A Khan, M.D
- Title
- Director
- Phone
- (301) 326-5397
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | Primary |
Addresses
Primary practice location
409 Hooper Rd
Endwell, NY 13760-3661
Mailing address
470 Castleman Rd
Vestal, NY 13850-6138
Phone (301) 326-5397
National Provider Directory
National Provider DirectoryLocations
409 Hooper Rd
Endwell, NY 13760
Phone (301) 326-5397
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Vestal, NY
- NPI 1033186002
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433721600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1433721600000",
"number": "1356721070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "470 CASTLEMAN RD",
"city": "VESTAL",
"state": "NY",
"postal_code": "138506138",
"telephone_number": "301-326-5397",
"fax_number": "607-429-0244"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 HOOPER RD",
"city": "ENDWELL",
"state": "NY",
"postal_code": "137603661",
"telephone_number": "301-326-5397",
"fax_number": "607-429-0244"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN AND SPINE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-08",
"last_updated": "2015-06-08",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "SAJID",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "301-326-5397",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Endwell, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.