Active NPI
Pain Sedation Anesthesia PC
- Anesthesiology Physician
- Rego Park, NY
National Provider Identifier
1497406854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- PAIN SEDATION ANESTHESIA PC
- Practice address
- 6240 Woodhaven Blvd Ste P17
Rego Park, NY 11374-3702 - Phone
- (718) 222-5999
- Fax
- (718) 387-6429
- NPI assigned
- Jan 17, 2022
- 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
- Yakub Abrakhimov, MD
- Title
- Ceo
- Phone
- (718) 222-5999
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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
6240 Woodhaven Blvd Ste P17
Rego Park, NY 11374-3702
Mailing address
9957 62ND Dr
Rego Park, NY 11374-1937
Phone (718) 222-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6240 Woodhaven Blvd
Ste P17
Rego Park, NY 11374
Phone (718) 200-8846
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Rego Park, NY
- NPI 1144457698
Anesthesiology
-
- Anesthesiology Physician
- Forest Hills, NY
- NPI 1053608471
-
- Anesthesiology Physician
- Astoria, NY
- NPI 1023014081
-
- Anesthesiology Physician
- New York, NY
- NPI 1023371887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642377600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655078400000",
"number": "1497406854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9957 62ND DR",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113741937",
"telephone_number": "718-222-5999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6240 WOODHAVEN BLVD STE P17",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743702",
"telephone_number": "718-222-5999",
"fax_number": "718-387-6429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PAIN SEDATION ANESTHESIA PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-01-17",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A",
"authorized_official_last_name": "ABRAKHIMOV",
"authorized_official_first_name": "YAKUB",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-222-5999",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; 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.