Organization Active NPI

Flushing Anesthesia Pain Management PLLC

  • Interventional Pain Medicine Physician
  • Flushing, NY
National Provider Identifier
1508198508
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
201494 Issued in NY
Legal business name
FLUSHING ANESTHESIA PAIN MANAGEMENT PLLC
Practice address
13338 41St Rd Ste 2N
Flushing, NY 11355-3662
Phone
(718) 939-5200
Fax
(718) 939-5210
NPI assigned
Feb 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Cong HeNPI 1194887281
Title
Owner
Phone
(516) 603-3755

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
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 201494 NY Primary

Addresses

Primary practice location

13338 41St Rd Ste 2N
Flushing, NY 11355-3662

Mailing address

13338 41St Rd Ste 2N
Flushing, NY 11355-3662
Phone (718) 939-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100330000848 NY Part B Supplier - Clinic/Group Practice 6406982370 Receives reassigned benefits from 1 practitioner
Practice locations: Flushing, NY; New York, NY

National Provider Directory

National Provider Directory

Locations

13338 41st Rd
Ste 2N
Flushing, NY 11355
Phone (718) 939-5200

202 Canal St
Ste 605
New York, NY 10013
Phone (212) 219-8810

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": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1508198508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13338 41ST RD STE 2N",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553662",
            "telephone_number": "718-939-5200",
            "fax_number": "718-939-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13338 41ST RD STE 2N",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553662",
            "telephone_number": "718-939-5200",
            "fax_number": "718-939-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLUSHING ANESTHESIA PAIN MANAGEMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "HE",
        "authorized_official_first_name": "CONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-603-3755"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "201494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.