Organization Active NPI

Phillips Hill Pain MGMT., PC

  • Pain Medicine Physician
  • New City, NY
National Provider Identifier
1366695207
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
MA045663 Issued in NJ
Legal business name
PHILLIPS HILL PAIN MGMT., PC
Practice address
100 Phillips Hill Rd.
New City, NY 10956
Phone
(845) 634-5656
Fax
(845) 634-0596
NPI assigned
Oct 23, 2008
Organization subpart
Yes
Parent organization
PHILLIPS HILL PAIN MGMT., PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Ronald R Discenza, MD
Title
President
Phone
(845) 709-2274

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 140670 NY
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X MA045663 NJ Primary

Addresses

Primary practice location

100 Phillips Hill Rd.
New City, NY 10956

Mailing address

PO Box 514
Montvale, NJ 07645
Phone (845) 634-5656

Other identifiers 2

IdentifierTypeStateIssuer
WYYZR1OtherNYNY PTAN
095248OtherNJNJ PTAN

National Provider Directory

National Provider Directory
Part of
Phillips Hill Pain MGMT PC

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1366695207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 514",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "07645",
            "telephone_number": "845-634-5656",
            "fax_number": "845-634-0596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PHILLIPS HILL RD.",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-634-5656",
            "fax_number": "845-634-0596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHILLIPS HILL PAIN MGMT., PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PHILLIPS HILL PAIN MGMT., PC",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "DISCENZA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-709-2274",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "140670",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NJ",
            "license": "MA045663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY PTAN",
            "identifier": "WYYZR1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ PTAN",
            "identifier": "095248",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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.