Organization Active NPI

Spine and Sports Medicine of New York PC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1467754416
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
A220814-1 Issued in NY
Legal business name
SPINE AND SPORTS MEDICINE OF NEW YORK PC
Practice address
820 2ND Ave
Suite 6D
New York, NY 10017-4504
Phone
(212) 682-6970
Fax
(212) 682-6979
NPI assigned
Nov 24, 2010
Last updated
Oct 3, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Authorized official

Name
Dr. Andre Panagos, M.D.NPI 1083701155
Title
Owner
Phone
(212) 682-6970

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A228647-1 NY
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X A220814-1 NY Primary

Addresses

Primary practice location

820 2ND Ave
Suite 6D
New York, NY 10017-4504

Mailing address

820 2ND Ave
Suite 6D
New York, NY 10017-4504
Phone (212) 682-6970

National Provider Directory

National Provider Directory

Locations

820 2nd Ave
Rm 6D
New York, NY 10017
Phone (212) 682-6970

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349222400000",
    "number": "1467754416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 2ND AVE",
            "address_2": "SUITE 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174504",
            "telephone_number": "212-682-6970",
            "fax_number": "212-682-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 2ND AVE",
            "address_2": "SUITE 6D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100174504",
            "telephone_number": "212-682-6970",
            "fax_number": "212-682-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE AND SPORTS MEDICINE OF NEW YORK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-24",
        "last_updated": "2012-10-03",
        "status": "A",
        "authorized_official_last_name": "PANAGOS",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-682-6970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "A228647-1",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "A220814-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 3, 2012; 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.