Organization Active NPI

DG Pain Management PC

  • Pain Medicine (Anesthesiology) Physician
  • New City, NY
National Provider Identifier
1699312900
Registry record updated Dec 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
DG PAIN MANAGEMENT PC
Practice address
182 S Main St
New City, NY 10956-3318
Phone
(845) 207-3038
NPI assigned
Dec 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2024

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

Authorized official

Name
Mr. David Gamburg, MDNPI 1134120298
Title
President
Phone
(845) 207-3038

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
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

182 S Main St
New City, NY 10956-3318

Mailing address

7324 195TH St
Fresh Meadows, NY 11366-1840
Phone (917) 605-2696

Other practice location 1

156 Dolson Ave Ste 11
Middletown, NY 10940-6560
Phone (201) 834-8380

Other practice location 2

280 Broadway Ste 2
Newburgh, NY 12550-8203
Phone (201) 834-8380

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230914003015 NY Part B Supplier - Clinic/Group Practice 8224492889 Receives reassigned benefits from 1 practitioner
Practice locations: New City, NY

National Provider Directory

National Provider Directory

Locations

280 Broadway
Ste 2
Newburgh, NY 12550
Phone (201) 834-8380

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": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734393600000",
    "number": "1699312900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7324 195TH ST",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113661840",
            "telephone_number": "917-605-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "182 S MAIN ST",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563318",
            "telephone_number": "845-207-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Dolson Ave Ste 11",
            "address_purpose": "LOCATION",
            "city": "Middletown",
            "state": "NY",
            "postal_code": "109406560",
            "country_code": "US",
            "telephone_number": "201-834-8380",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "280 Broadway Ste 2",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "NY",
            "postal_code": "125508203",
            "country_code": "US",
            "telephone_number": "201-834-8380",
            "fax_number": "201-834-8630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DG PAIN MANAGEMENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A",
        "authorized_official_last_name": "GAMBURG",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-207-3038",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "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 New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.