Organization Active NPI

J Pain & Spine Care

  • Neurological Surgery Physician
  • Horseheads, NY
National Provider Identifier
1679091227
Registry record updated Sep 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
273984-1 Issued in NY
Legal business name
J PAIN & SPINE CARE
Practice address
217 Old Ithaca Rd
Horseheads, NY 14845
Phone
(607) 731-4644
Fax
(607) 776-1783
NPI assigned
Sep 5, 2017
Last updated
Sep 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2017

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

Authorized official

Name
Muhammad Jalaluddin, MDNPI 1386894814
Title
Owner Sole Member
Phone
(607) 731-4644

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)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 273984-1 NY Primary

Addresses

Primary practice location

217 Old Ithaca Rd
Horseheads, NY 14845

Mailing address

315 Chelsea Court
Horseheads, NY 14845
Phone (607) 731-4644

Other identifiers 1

IdentifierTypeStateIssuer
03081674MedicaidNY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1504569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504569600000",
    "number": "1679091227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 CHELSEA COURT",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "14845",
            "telephone_number": "607-731-4644",
            "fax_number": "607-776-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 OLD ITHACA RD",
            "city": "HORSEHEADS",
            "state": "NY",
            "postal_code": "14845",
            "telephone_number": "607-731-4644",
            "fax_number": "607-776-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J PAIN & SPINE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-05",
        "last_updated": "2017-09-05",
        "status": "A",
        "authorized_official_last_name": "JALALUDDIN",
        "authorized_official_first_name": "MUHAMMAD",
        "authorized_official_title_or_position": "OWNER SOLE MEMBER",
        "authorized_official_telephone_number": "607-731-4644",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NY",
            "license": "273984-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03081674",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseheads, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.