Organization Active NPI

Pain and Wellness Center

  • Pain Medicine (Anesthesiology) Physician
  • Great Neck, NY
National Provider Identifier
1457055196
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
PAIN AND WELLNESS CENTER
Practice address
16 Middle Neck Rd # 512
Great Neck, NY 11021-2357
Phone
(929) 260-4168
Fax
(925) 309-6396
NPI assigned
Mar 28, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Authorized official

Name
Michael Khalili, MDNPI 1376920546
Title
President
Phone
(929) 260-4168

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 (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

16 Middle Neck Rd # 512
Great Neck, NY 11021-2357

Mailing address

16 Middle Neck Rd # 512
Great Neck, NY 11021-2357

National Provider Directory

National Provider Directory

Locations

16 Middle Neck Rd
Great Neck, NY 11021
Phone (917) 912-2925

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1679961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679961600000",
    "number": "1457055196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 MIDDLE NECK RD # 512",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212357"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 MIDDLE NECK RD # 512",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110212357",
            "telephone_number": "929-260-4168",
            "fax_number": "925-309-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-28",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-24",
        "status": "A",
        "authorized_official_last_name": "KHALILI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "929-260-4168",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.