NPIMap

Organization Active NPI

Beth Israel Medical Center

Doing business as Bimc Pain and Palliative Care

  • Pain Medicine Physician
  • New York, NY
National Provider Identifier
1558326702
Registry record updated Aug 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
BETH ISRAEL MEDICAL CENTER
Doing business as
Bimc Pain and Palliative Care
Practice address
10 Union SQ E
Suite 4K
New York, NY 10003-3314
Phone
(212) 844-8930
NPI assigned
Apr 19, 2006
Last updated
Aug 15, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2008

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

Authorized official

Name
Russell PortenoyNPI 1407837396
Title
Chief of Pain and Palliative Dept
Phone
(212) 844-8930

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
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

10 Union SQ E
Suite 4K
New York, NY 10003-3314

Mailing address

160 Water St
20TH Floor
New York, NY 10038-4922
Phone (212) 256-3539

Other names 1

  • BIMC PAIN AND PALLIATIVE CARE Doing business as

National Provider Directory

National Provider Directory

Locations

10 Union Sq E
Ste 4K
New York, NY 10003
Phone (212) 844-8930

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218758400000",
    "number": "1558326702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 WATER ST",
            "address_2": "20TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100384922",
            "telephone_number": "212-256-3539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 UNION SQ E",
            "address_2": "SUITE 4K",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033314",
            "telephone_number": "212-844-8930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BETH ISRAEL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-19",
        "last_updated": "2008-08-15",
        "status": "A",
        "authorized_official_last_name": "PORTENOY",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "CHIEF OF PAIN AND PALLIATIVE DEPT",
        "authorized_official_telephone_number": "212-844-8930"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIMC PAIN AND PALLIATIVE CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 15, 2008; 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.