Organization Active NPI

Modern Pain Solutions LLC

  • Durable Medical Equipment & Medical Supplies
  • Olean, NY
National Provider Identifier
1639618333
Registry record updated Feb 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MODERN PAIN SOLUTIONS LLC
Practice address
125 N Union St
Olean, NY 14760-2736
Phone
(716) 790-8913
NPI assigned
Feb 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2017

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

Authorized official

Name
Katie McQueary
Title
Owner
Phone
(716) 790-8913

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NY Primary

Addresses

Primary practice location

125 N Union St
Olean, NY 14760-2736

Mailing address

125 N Union St
Olean, NY 14760-2736
Phone (716) 790-8913

National Provider Directory

National Provider Directory

Locations

125 N Union St
Olean, NY 14760
Phone (716) 790-8913

NPI Registry JSON

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487116800000",
    "number": "1639618333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-790-8913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 N UNION ST",
            "city": "OLEAN",
            "state": "NY",
            "postal_code": "147602736",
            "telephone_number": "716-790-8913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN PAIN SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-02-15",
        "status": "A",
        "authorized_official_last_name": "MCQUEARY",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-790-8913"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olean, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2017; 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.