Ny Interventional Pain Medicine PLLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

NY INTERVENTIONAL PAIN MEDICINE PLLC

Practice address

3518 150TH PL FL 1
Flushing, NY 11354-4922

Phone

(201) 682-6811

Fax

(855) 443-2544

NPI assigned

Dec 17, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jignyasa Desai, DO

Title

Owner

Phone

(201) 682-6811

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1608163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608163200000",
    "number": "1386230951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 ANNETT AVE",
            "city": "EDGEWATER",
            "state": "NJ",
            "postal_code": "070201530",
            "telephone_number": "201-682-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3518 150TH PL FL 1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544922",
            "telephone_number": "201-682-6811",
            "fax_number": "855-443-2544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NY INTERVENTIONAL PAIN MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-17",
        "last_updated": "2020-12-17",
        "certification_date": "2020-12-17",
        "status": "A",
        "authorized_official_last_name": "DESAI",
        "authorized_official_first_name": "JIGNYASA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "201-682-6811",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desai4spine@gmail.com",
            "affiliation": "N",
            "endpointDescription": "EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3518 150th Pl Fl 1",
            "city": "Flushing",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113544922",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Pain Clinic/Center in Flushing, NY
• Providers in Flushing, NY by specialty
• Pain Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 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.