NPIMap

Organization Active NPI

Jefferson Pain and Rehab Center

  • Physical Medicine & Rehabilitation Physician
  • Pittsburgh, PA
National Provider Identifier
1376526780
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD037447Y Issued in PA
Legal business name
JEFFERSON PAIN AND REHAB CENTER
Practice address
4735 Clairton Blvd
Pittsburgh, PA 15236-2115
Phone
(412) 885-5400
Fax
(412) 885-1773
NPI assigned
Nov 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
John Keun-Sang Lee, MDNPI 1811187099
Title
Medical Dir Jefferson Pain & Rehab
Phone
(412) 885-5400

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)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X MD037447Y PA Primary

Addresses

Primary practice location

4735 Clairton Blvd
Pittsburgh, PA 15236-2115

Mailing address

4735 Clairton Blvd
Pittsburgh, PA 15236-2115
Phone (412) 885-5400

Other identifiers 6

IdentifierTypeStateIssuer
0076496OtherUS HEALTH CARE
60216OtherMED PLUS
1500227OtherGATEWAY
26789OtherHEALTH AMERICA
0911881MedicaidPA
109OtherUPMC FOR YOU

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1132531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376526780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4735 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362115",
            "telephone_number": "412-885-5400",
            "fax_number": "412-885-1773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4735 CLAIRTON BLVD",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152362115",
            "telephone_number": "412-885-5400",
            "fax_number": "412-885-1773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERSON PAIN AND REHAB CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "KEUN-SANG",
        "authorized_official_title_or_position": "MEDICAL DIR JEFFERSON PAIN & REHAB",
        "authorized_official_telephone_number": "412-885-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "PA",
            "license": "MD037447Y",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US HEALTH CARE",
            "identifier": "0076496",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED PLUS",
            "identifier": "60216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY",
            "identifier": "1500227",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "26789",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0911881",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC FOR YOU",
            "identifier": "109",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.