NPIMap

Organization Active NPI

Kumar Medical Pain Management PC

  • Physical Medicine & Rehabilitation Physician
  • Plainview, NY
National Provider Identifier
1417575911
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
KUMAR MEDICAL PAIN MANAGEMENT PC
Practice address
888 Old Country Rd
Plainview, NY 11803-4914
Phone
(516) 823-6570
NPI assigned
Jul 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Ashish Kumar, DONPI 1518302967
Title
Physician
Phone
(516) 823-6570

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 Primary

Addresses

Primary practice location

888 Old Country Rd
Plainview, NY 11803-4914

Mailing address

25629 Union Tpke Unit 40043
Glen Oaks, NY 11004-1251
Phone (516) 229-1640

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201103002465 NY Part B Supplier - Clinic/Group Practice 5294145249 Receives reassigned benefits from 5 practitioners
Practice locations: Syosset, NY; Richmond Hill, NY; Medford, NY; Manhasset, NY; Plainview, NY; Hempstead, NY

National Provider Directory

National Provider Directory

Locations

25629 Union Tpke
Unit 40043
Glen Oaks, NY 11004

3115 Horseblock Rd
Medford, NY 11763
Phone (631) 730-3000

8611 Lefferts Blvd
Ste 3C
Richmond Hill, NY 11418
Phone (516) 823-6570

Practitioners & affiliated clinicians

Practitioners 12

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": "1594339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1417575911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25629 UNION TPKE UNIT 40043",
            "city": "GLEN OAKS",
            "state": "NY",
            "postal_code": "110041251",
            "telephone_number": "516-229-1640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "888 OLD COUNTRY RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034914",
            "telephone_number": "516-823-6570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUMAR MEDICAL PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "KUMAR",
        "authorized_official_first_name": "ASHISH",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "516-823-6570",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.