Organization Active NPI

It Takes a Village Pain Management Practice of New York PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Plainview, NY
National Provider Identifier
1457899486
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
270909 Issued in NY
Legal business name
IT TAKES A VILLAGE PAIN MANAGEMENT PRACTICE OF NEW YORK PLLC
Practice address
518 Plainview Rd
Plainview, NY 11803-5733
Phone
(312) 434-1113
NPI assigned
Feb 9, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Authorized official

Name
Dr. Ngugi KinyunguNPI 1043451883
Title
Owner
Phone
(312) 434-1113

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 270909 NY Primary

Addresses

Primary practice location

518 Plainview Rd
Plainview, NY 11803-5733

Mailing address

132 N 17TH St
Wheatley Heights, NY 11798-1818
Phone (312) 434-1113

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170315000652 NY Part B Supplier - Clinic/Group Practice 5890070866 Receives reassigned benefits from 1 practitioner
Practice locations: Plainview, NY

National Provider Directory

National Provider Directory
Tax ID family
It Takes a Village Pain Management Institute of New York2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 5

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": "1486598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490745600000",
    "number": "1457899486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 N 17TH ST",
            "city": "WHEATLEY HEIGHTS",
            "state": "NY",
            "postal_code": "117981818",
            "telephone_number": "312-434-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 PLAINVIEW RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118035733",
            "telephone_number": "312-434-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IT TAKES A VILLAGE PAIN MANAGEMENT PRACTICE OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-03-29",
        "status": "A",
        "authorized_official_last_name": "KINYUNGU",
        "authorized_official_first_name": "NGUGI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-434-1113",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "270909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainview, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2017; 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.