Regenerative Pain Center of NJ & Ny

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

REGENERATIVE PAIN CENTER OF NJ & NY

Practice address

119 W 57TH St Ste 717
New York, NY 10019-2302

Phone

(917) 797-9523

NPI assigned

Dec 12, 2019

Last updated

Dec 12, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Todd S Koppel, MD

Title

President

Phone

(914) 666-8866

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1576108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576108800000",
    "number": "1417595224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N BEDFORD RD STE 200",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105492555",
            "telephone_number": "914-666-8866",
            "fax_number": "914-666-6777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W 57TH ST STE 717",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100192302",
            "telephone_number": "917-797-9523"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGENERATIVE PAIN CENTER OF NJ & NY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-12",
        "last_updated": "2019-12-12",
        "certification_date": "2019-12-12",
        "status": "A",
        "authorized_official_last_name": "KOPPEL",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-666-8866",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elliot Regenbogen, M.D.
• Victoria Regencia
• Regency MRI, P.C. (Regency Medical Imaging)
• Regency Surgical, PLLC
• Regenerate Acupuncture
• Regenhealth Physicians LLC
• Nicole Regent, M.D.
• Fernando Reggianini
• Danielle Regina
• Elise Marie Regina, OD

• Pain Medicine (Anesthesiology) Physician in New York, NY
• Providers in New York, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2019; 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.