Active NPI
Serebnitsky Pain Medicine, PC
- Interventional Pain Medicine Physician
- New York, NY
National Provider Identifier
1609518158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- Legal business name
- SEREBNITSKY PAIN MEDICINE, PC
- Practice address
- 68 E 131St St
New York, NY 10037-2900 - Phone
- (718) 288-7026
- NPI assigned
- Apr 13, 2022
- Last updated
- Apr 13, 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
- Stacy Serebnitsky, MD
- Title
- Medical Director
- Phone
- (718) 288-7026
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | NU | ||
| Interventional Pain Medicine Physician | 208VP0014X | NU | Primary |
Addresses
Primary practice location
68 E 131St St
New York, NY 10037-2900
Mailing address
11201 Queens Blvd Apt 18G
Forest Hills, NY 11375-5592
Phone (718) 288-7026
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Interventional Pain Medicine Physician
- Rego Park, NY
- NPI 1336379817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649808000000",
"number": "1609518158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11201 QUEENS BLVD APT 18G",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113755592",
"telephone_number": "718-288-7026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68 E 131ST ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100372900",
"telephone_number": "718-288-7026"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEREBNITSKY PAIN MEDICINE, PC",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A",
"authorized_official_last_name": "SEREBNITSKY",
"authorized_official_first_name": "STACY",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "718-288-7026",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Apr 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.