Active NPI
Sadyribeiro Pain Management and Medical Services PC
- Pain Medicine (Anesthesiology) Physician
- Woodhaven, NY
National Provider Identifier
1619255668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- J4668
- Legal business name
- SADYRIBEIRO PAIN MANAGEMENT AND MEDICAL SERVICES PC
- Practice address
- 9525 Jamaica Ave
Woodhaven
Woodhaven, NY 11421-2282 - Phone
- (718) 743-7090
- Fax
- (718) 764-8202
- NPI assigned
- Jul 25, 2011
- 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
- Dr. Sady Theodoro Ribeiro
- Title
- Anesthesiology
- Phone
- (718) 743-7090
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | J4668 | TX | Primary |
Addresses
Primary practice location
9525 Jamaica Ave
Woodhaven
Woodhaven, NY 11421-2282
Mailing address
9525 Jamaica Ave
Woodhaven
Woodhaven, NY 11421-2282
Phone (718) 743-7090
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311552000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1360627200000",
"number": "1619255668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9525 JAMAICA AVE",
"address_2": "WOODHAVEN",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114212282",
"telephone_number": "718-743-7090",
"fax_number": "718-764-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9525 JAMAICA AVE",
"address_2": "WOODHAVEN",
"city": "WOODHAVEN",
"state": "NY",
"postal_code": "114212282",
"telephone_number": "718-743-7090",
"fax_number": "718-764-8202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SADYRIBEIRO PAIN MANAGEMENT AND MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-07-25",
"last_updated": "2013-02-12",
"status": "A",
"authorized_official_last_name": "RIBEIRO",
"authorized_official_first_name": "SADY",
"authorized_official_middle_name": "THEODORO",
"authorized_official_title_or_position": "ANESTHESIOLOGY",
"authorized_official_telephone_number": "718-743-7090",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "TX",
"license": "J4668",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodhaven, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.