Active NPI
Interventional Pain Medicine PC
- Pain Medicine (Anesthesiology) Physician
- Hollis, NY
National Provider Identifier
1669560504
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- INTERVENTIONAL PAIN MEDICINE PC
- Practice address
- 19617 Hillside Ave
Hollis, NY 11423-2157 - Phone
- (718) 479-3900
- Fax
- (718) 479-1014
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rajesh Patel, M.D.
- Title
- President
- Phone
- (718) 479-3900
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
19617 Hillside Ave
Hollis, NY 11423-2157
Mailing address
19617 Hillside Ave
Hollis, NY 11423-2157
Phone (718) 479-3900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
11111 Liberty Ave
South Richmond Hill, NY 11419
Phone (347) 754-9442
Practitioners & affiliated clinicians
Practitioners 9
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Hollis, NY
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- Neurology Physician
- Hollis, NY
- NPI 1275588832
-
- Anesthesiology Physician
- Flushing, NY
- NPI 1235168964
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1245224682
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1306054242
-
- Anesthesiology Physician
- New Hyde Park, NY
- NPI 1740285964
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1215959416
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1023042009
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1902835630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1298678400000",
"number": "1669560504",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19617 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232157",
"telephone_number": "718-479-3900",
"fax_number": "718-479-1014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19617 HILLSIDE AVE",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114232157",
"telephone_number": "718-479-3900",
"fax_number": "718-479-1014"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERVENTIONAL PAIN MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2011-02-26",
"status": "A",
"authorized_official_last_name": "PATEL",
"authorized_official_first_name": "RAJESH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "718-479-3900",
"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": []
}
Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2011; 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.