Active NPI
Richmond Interventional Pain Management PC
- Pain Medicine (Anesthesiology) Physician
- Staten Island, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- RICHMOND INTERVENTIONAL PAIN MANAGEMENT PC
- Practice address
- 2066 Richmond Ave Ste 202
Staten Island, NY 10314-3961 - Phone
- (718) 698-3900
- Fax
- (855) 564-5600
- NPI assigned
- Feb 14, 2016
- 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
- Marianne Dwyer
- Title
- Practice Manager
- Phone
- (718) 698-3900
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
2066 Richmond Ave Ste 202
Staten Island, NY 10314-3961
Mailing address
2066 Richmond Ave Ste 202
Staten Island, NY 10314-3961
Phone (718) 698-3900
Other names 1
- Richmond Interventional Pain Management
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170213000989 | NY | Part B Supplier - Clinic/Group Practice | 4183907405 |
Receives reassigned benefits from 2 practitioners Practice locations: Staten Island, NY |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2088390 | Richmond Interventional Pain Management | Certificate of waiver | Dec 14, 2026 |
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Pain Medicine Physician
- Staten Island, NY
- NPI 1700337888
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Staten Island, NY
- NPI 1699772160
NY, Pain Medicine
-
- Pain Medicine Physician
- Huntington Beach, CA
- NPI 1801207014
NY, Pain Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455408000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487203200000",
"number": "1477912822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2066 RICHMOND AVE STE 202",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143961",
"telephone_number": "718-698-3900",
"fax_number": "855-564-5600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2066 RICHMOND AVE STE 202",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103143961",
"telephone_number": "718-698-3900",
"fax_number": "855-564-5600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHMOND INTERVENTIONAL PAIN MANAGEMENT PC",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-14",
"last_updated": "2017-02-16",
"status": "A",
"authorized_official_last_name": "DWYER",
"authorized_official_first_name": "MARIANNE",
"authorized_official_title_or_position": "PRACTICE MANAGER",
"authorized_official_telephone_number": "718-698-3900"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Richmond Interventional Pain Management",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Staten Island, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.