Organization Active NPI

New York Pain Pump Medicine PC

  • Pain Medicine Physician
  • New York, NY
National Provider Identifier
1669365664
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
NEW YORK PAIN PUMP MEDICINE PC
Practice address
36 W 44TH St Ste 600B
New York, NY 10036-8112
Phone
(917) 299-8256
Fax
(646) 661-3963
NPI assigned
May 30, 2025
Last updated
Jun 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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

Authorized official

Name
Suelane Sousa DO Ouro Rodrigues
Title
Owner
Phone
(917) 299-8256

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X NU Primary

Addresses

Primary practice location

36 W 44TH St Ste 600B
New York, NY 10036-8112

Mailing address

116 Sandford St
Brooklyn, NY 11205-2987
Phone (917) 299-8256

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250710000405 NY Part B Supplier - Clinic/Group Practice 0749794840 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

36 W 44th St
Ste 600B
New York, NY 10036
Phone (917) 299-8256

Practitioners & affiliated clinicians

Practitioners 2

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": "1748563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750032000000",
    "number": "1669365664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 SANDFORD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112052987",
            "telephone_number": "917-299-8256",
            "fax_number": "646-661-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 W 44TH ST STE 600B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100368112",
            "telephone_number": "917-299-8256",
            "fax_number": "646-661-3963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PAIN PUMP MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-30",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A",
        "authorized_official_last_name": "DO OURO RODRIGUES",
        "authorized_official_first_name": "SUELANE",
        "authorized_official_middle_name": "SOUSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-299-8256"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.