NPIMap

Organization Active NPI

Cny Spine and Pain Medicine LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Liverpool, NY
National Provider Identifier
1427397397
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
CNY SPINE AND PAIN MEDICINE LLC
Practice address
7449 Morgan Rd
Liverpool, NY 13090-3901
Phone
(315) 451-5400
Fax
(315) 451-5422
NPI assigned
Feb 12, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Martin A. Schaeffer, MDNPI 1881621472
Title
Owner
Phone
(315) 451-5400

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
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

7449 Morgan Rd
Liverpool, NY 13090-3901

Mailing address

7449 Morgan Rd
Liverpool, NY 13090-3901
Phone (315) 451-5400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20130828000551 NY Part B Supplier - Clinic/Group Practice 5597908202 Receives reassigned benefits from 14 practitioners
Practice locations: Camillus, NY; Liverpool, NY; Utica, NY; Westmoreland, NY
O20180522000465 NY DME Supplier - Physician - General Practice 5597908202 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Liverpool, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

7449 Morgan Rd
Liverpool, NY 13090
Phone (315) 451-5400

Practitioners & affiliated clinicians

Practitioners 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1427397397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7449 MORGAN RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903901",
            "telephone_number": "315-451-5400",
            "fax_number": "315-451-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7449 MORGAN RD",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130903901",
            "telephone_number": "315-451-5400",
            "fax_number": "315-451-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CNY SPINE AND PAIN MEDICINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "SCHAEFFER",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-451-5400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Liverpool, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.