Active NPI
DDM Medical, PC
- Pain Clinic/Center
- New York, NY
National Provider Identifier
1427368281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Clinic/Center
- License
- 245042
- Legal business name
- DDM MEDICAL, PC
- Practice address
- 122 E 42ND St
Suite 2901
New York, NY 10168-0002 - Phone
- (917) 701-6570
- NPI assigned
- Oct 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Howard Schwartz, MD
- Title
- Officer
- Phone
- (917) 701-6570
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Clinic/Center | 261QP3300X | 245042 | NY | Primary |
Addresses
Primary practice location
122 E 42ND St
Suite 2901
New York, NY 10168-0002
Mailing address
1357 Broadway
# 245
New York, NY 10018-7101
Phone (212) 757-8686
National Provider Directory
National Provider DirectoryLocations
1357 Broadway
New York, NY 10018
Phone (347) 410-8249
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physician Assistant
- Shirley, NY
- NPI 1639476385
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287014400000",
"number": "1427368281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1357 BROADWAY",
"address_2": "# 245",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100187101",
"telephone_number": "212-757-8686",
"fax_number": "917-475-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 E 42ND ST",
"address_2": "SUITE 2901",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101680002",
"telephone_number": "917-701-6570"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DDM MEDICAL, PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-14",
"last_updated": "2010-10-14",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "HOWARD",
"authorized_official_title_or_position": "OFFICER",
"authorized_official_telephone_number": "917-701-6570",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NY",
"license": "245042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.