Active NPI
Pain and Wellness Center
- Pain Medicine (Anesthesiology) Physician
- Great Neck, NY
National Provider Identifier
1457055196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Khalili, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 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 DirectoryLocations
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
- Our Gentle Touch Chiropractic of the Bronx, P.C.
- Outreach Physical and Occupational Therapy & Speech Rehabilitation, PLLC
- Natalie Owens
- Nicolette M Pace, MS,RD, CDE,CDN, CFCS
- Ajay Padaki, MD
- Lorrelei Ann Paires, DDS
- Sara Pajouhanfar
- Ava Grace Palazzolo, M.S, NCSP
- John Palermo, PHYSICAN ASSISTANT
- Winston Paley, MD
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.