Eastcoast Metropolitan Medical PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

264999 Issued in NY

Legal business name

EASTCOAST METROPOLITAN MEDICAL PC

Practice address

1928 Bay Ave
Brooklyn, NY 11230-6214

Phone

(718) 975-2910

Fax

(347) 462-2227

NPI assigned

Jan 9, 2013

Organization subpart

No

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

Authorized official

Name

Pauline Raitses, DO

Title

Owner

Phone

(718) 975-2910

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1639416746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1928 BAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306214",
            "telephone_number": "718-975-2910",
            "fax_number": "347-462-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1928 BAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112306214",
            "telephone_number": "718-975-2910",
            "fax_number": "347-462-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTCOAST METROPOLITAN MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-09",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "RAITSES",
        "authorized_official_first_name": "PAULINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-975-2910",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "264999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Brooklyn, NY
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• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2015; 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.