Painrx Inc

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

Legal business name

PAINRX INC

Practice address

29 Stratford N
Roslyn Heights, NY 11577-2315

Phone

(718) 877-6388

NPI assigned

Sep 11, 2020

Last updated

Sep 11, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Derek Mercer

Title

Credentialing Specialist

Phone

(718) 877-6388

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1599782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599782400000",
    "number": "1528673050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 STRATFORD N",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772315",
            "telephone_number": "718-877-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 STRATFORD N",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772315",
            "telephone_number": "718-877-6388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAINRX INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-11",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A",
        "authorized_official_last_name": "MERCER",
        "authorized_official_first_name": "DEREK",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "718-877-6388"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Acute Care Nurse Practitioner in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Acute Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.