Organization Active NPI

Caliber Medical, PC

  • Pain Medicine Physician
  • New York, NY
National Provider Identifier
1689205940
Registry record updated Jan 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
CALIBER MEDICAL, PC
Practice address
635 Madison Ave FL 14
New York, NY 10022-1009
Phone
(212) 203-5987
NPI assigned
Jan 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2020

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

Authorized official

Name
Rita Kichenamourty
Title
Manager
Phone
(212) 203-5987

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

635 Madison Ave FL 14
New York, NY 10022-1009

Mailing address

227 E 56TH St RM 203
New York, NY 10022-3733
Phone (212) 203-5987

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL PracticeFusion Other

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1580083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580083200000",
    "number": "1689205940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 E 56TH ST RM 203",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223733",
            "telephone_number": "212-203-5987",
            "fax_number": "212-203-8039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 MADISON AVE FL 14",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221009",
            "telephone_number": "212-203-5987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIBER MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A",
        "authorized_official_last_name": "KICHENAMOURTY",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "212-203-5987"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "PracticeFusion",
            "affiliation": "N",
            "endpointDescription": "PracticeFusion",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EMR, EHR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "635 Madison Ave Fl 14",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100221009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jan 27, 2020; 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.