Organization Active NPI

Pro-Medical New York PLLC

  • Pain Medicine Physician
  • New York, NY
National Provider Identifier
1437528015
Registry record updated Aug 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PRO-MEDICAL NEW YORK PLLC
Practice address
1056 5TH Ave
New York, NY 10028-0112
Phone
(845) 363-4845
NPI assigned
Sep 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2016

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

Authorized official

Name
Thomas Youm
Title
Partner
Phone
(845) 363-4845

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1056 5TH Ave
New York, NY 10028-0112

Mailing address

1056 5TH Ave
New York, NY 10028-0112

Other names 1

  • PRO SPINE AND PAIN MEDICINE PLLC Other name

National Provider Directory

National Provider Directory

Locations

8710 37th Ave
Ste C
Jackson Heights, NY 11372
Phone (718) 507-8675

1056 5th Ave
New York, NY 10028
Phone (212) 348-3636

NPI Registry JSON

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

{
    "created_epoch": "1443052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470787200000",
    "number": "1437528015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1056 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1056 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280112",
            "telephone_number": "845-363-4845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRO-MEDICAL NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-24",
        "last_updated": "2016-08-10",
        "status": "A",
        "authorized_official_last_name": "YOUM",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "845-363-4845"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRO SPINE AND PAIN MEDICINE PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Aug 10, 2016; 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.