Organization Active NPI

Advanced Pain Care Medical, P.C.

  • Interventional Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1649222175
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
210710 Issued in NY
Legal business name
ADVANCED PAIN CARE MEDICAL, P.C.
Practice address
2417 Ocean Ave
Brooklyn, NY 11229-3510
Phone
(718) 332-2111
Fax
(718) 332-0180
NPI assigned
May 16, 2006
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Michael Trimba, M.D.NPI 1396725081
Title
President
Phone
(718) 332-2111

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 210710 NY
Physical Medicine & Rehabilitation Physician 208100000X 225644 NY
Interventional Pain Medicine Physician 208VP0014X 210710 NY Primary

Addresses

Primary practice location

2417 Ocean Ave
Brooklyn, NY 11229-3510

Mailing address

2417 Ocean Ave
Brooklyn, NY 11229-3510
Phone (718) 332-2111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060331000199 NY Part B Supplier - Clinic/Group Practice 8325056419 Receives reassigned benefits from 4 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

71 5th Ave
Bay Shore, NY 11706
Phone (631) 665-2421

Practitioners & affiliated clinicians

Practitioners 6

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": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1649222175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293510",
            "telephone_number": "718-332-2111",
            "fax_number": "718-332-0180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112293510",
            "telephone_number": "718-332-2111",
            "fax_number": "718-332-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PAIN CARE MEDICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "TRIMBA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-332-2111",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": "210710",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "225644",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "210710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; 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.