Pain Management Medical Associates PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

PAIN MANAGEMENT MEDICAL ASSOCIATES PLLC

Practice address

7568 187TH St
Fresh Meadows, NY 11366-1726

Phone

(718) 576-1999

NPI assigned

Apr 8, 2011

Organization subpart

No

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

Authorized official

Name

Dr. Hengameh Ardalan, M.D.NPI 1861428526

Title

Owner

Phone

(347) 724-2168

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Hengameh Ardalan, MD

  • Pain Medicine (Anesthesiology) Physician
  • Little Neck, NY
  • NPI 1861428526
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368921600000",
    "number": "1649560921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57-55 HEWLETT STREET",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "11362",
            "telephone_number": "718-576-1999",
            "fax_number": "718-423-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7568 187TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661726",
            "telephone_number": "718-576-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-08",
        "last_updated": "2013-05-19",
        "status": "A",
        "authorized_official_last_name": "ARDALAN",
        "authorized_official_first_name": "HENGAMEH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-724-2168",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oluwaseyi Oyelaja
• Raeven Hailey Ozuna
• Breda Paccione
• Devora B Pahlaef
• Meena Pai, M.D.
• Randolf P Palmaira, PT,MSA
• Xiao Yu Pan
• Panacea Medical Services, P.C.
• Neema Nitin Panchal, MOTR/L
• Avi K Pandey, M.D.

• Pain Medicine (Anesthesiology) Physician in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2013; 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.