Active NPI
Pro-Medical New York PLLC
- Pain Medicine Physician
- New York, NY
National Provider Identifier
1437528015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 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
National Provider Directory
National Provider DirectoryLocations
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.