Organization Active NPI

Neuro Pain Care, P.C

  • Specialist
  • Fresh Meadows, NY
National Provider Identifier
1629126974
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
203454 Issued in NY
Legal business name
NEURO PAIN CARE, P.C
Practice address
16408 65TH Ave
Fresh Meadows, NY 11365-1803
Phone
(718) 460-1111
Fax
(718) 460-5111
NPI assigned
Jan 5, 2007
Last updated
Sep 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Authorized official

Name
Vikas Varma, M.D.NPI 1306870720
Title
M.D.
Phone
(516) 562-9222

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
Specialist 174400000X 203454 NY Primary

Addresses

Primary practice location

16408 65TH Ave
Fresh Meadows, NY 11365-1803

Mailing address

16408 65TH Ave
Fresh Meadows, NY 11365-1803
Phone (718) 460-1111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080919000503 NY Part B Supplier - Clinic/Group Practice 0244120467 Receives reassigned benefits from 2 practitioners
Practice locations: Fresh Meadows, NY; Jericho, NY

National Provider Directory

National Provider Directory

Locations

61 Jericho Tpke
Jericho, NY 11753
Phone (516) 544-8877

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285200000000",
    "number": "1629126974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16408 65TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651803",
            "telephone_number": "718-460-1111",
            "fax_number": "718-460-5111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16408 65TH AVE",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113651803",
            "telephone_number": "718-460-1111",
            "fax_number": "718-460-5111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEURO PAIN CARE, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2010-09-23",
        "status": "A",
        "authorized_official_last_name": "VARMA",
        "authorized_official_first_name": "VIKAS",
        "authorized_official_title_or_position": "M.D.",
        "authorized_official_telephone_number": "516-562-9222",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "203454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresh Meadows, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2010; 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.