Individual provider Active NPI

Jan M Slomba, MD

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1689658007
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
228292 Issued in NY
Practice address
355 Ovington Ave
Suite 203
Brooklyn, NY 11209-1483
Phone
(718) 759-0108
Fax
(718) 759-0109
NPI assigned
Nov 30, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 228292 NY
Pain Medicine Physician 208VP0000X 228292 NY Primary

Addresses

Primary practice location

355 Ovington Ave
Suite 203
Brooklyn, NY 11209-1483

Mailing address

355 Ovington Ave
Suite 203
Brooklyn, NY 11209-1483
Phone (718) 759-0108

Other identifiers 1

IdentifierTypeStateIssuer
02431652MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040323001649 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Internal Medicine 8426949918 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Mobile Medical Care PLLCGroup PAC ID 8921449117, 3 clinicians

Practice addresses (Care Compare)

14 Wall St
FL 20
New York, NY 10005-2123
Phone (347) 298-4100

355 Ovington Ave
Suite 203
Brooklyn, NY 11209-1458
Phone (718) 759-0109

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Pain Management-Anesthesia Services, P.C. Anesthesiology CurrentSince Jan 1, 2012 Accepting new patients
U.S. Mobile Medical Care, PLLC CurrentSince Mar 9, 2024 Accepting new patients
JMS Medical Services PC Pain Medicine CurrentSince Jun 16, 2014 Accepting new patients
Beth Israel Medical Center Pain Medicine Past Accepting new patients

Locations

355 Ovington Ave
Ste 203
Brooklyn, NY 11209
Phone (347) 298-4100

7105 3rd Ave
Brooklyn, NY 11209
Phone (718) 663-1842

10 Union Sq E
#4K
New York, NY 10003
Phone (212) 844-1502

14 Wall St
Fl 20
New York, NY 10005
Phone (347) 298-4100

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/77186
  • FHIR API: https://fhir4.healow.com/fhir/r4/BHHDBA

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1689658007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 OVINGTON AVE",
            "address_2": "SUITE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091483",
            "telephone_number": "718-759-0108",
            "fax_number": "718-759-0109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 OVINGTON AVE",
            "address_2": "SUITE 203",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112091483",
            "telephone_number": "718-759-0108",
            "fax_number": "718-759-0109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLOMBA",
        "first_name": "JAN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "228292",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "228292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02431652",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.