Skyline Spine & Pain Medicine PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

Legal business name

SKYLINE SPINE & PAIN MEDICINE PC

Practice address

7846 Parsons Blvd
Flushing, NY 11366-1957

Phone

(212) 498-8982

Fax

(212) 208-2519

NPI assigned

May 23, 2023

Organization subpart

No

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

Authorized official

Name

Prashanth Reddy, MDNPI 1194018275

Title

Owner

Phone

(212) 498-8982

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

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

• Prashanth Reddy, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
  • NPI 1194018275
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1684800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687305600000",
    "number": "1700578366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2417 JERICHO TPKE # 310",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404710",
            "telephone_number": "212-498-8982",
            "fax_number": "212-208-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7846 PARSONS BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113661957",
            "telephone_number": "212-498-8982",
            "fax_number": "212-208-2519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKYLINE SPINE & PAIN MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-06-21",
        "certification_date": "2023-06-21",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "PRASHANTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-498-8982",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa Skovera, SLP
• Daniel W Skupski, MD
• Sky Sea Acupuncture, P.C.
• Sky88 LLC
• Skyline Dental Partners PLLC
• Skyray Dental PC
• Skyview Comprehensive Medical Care PLLC
• SL 21 Physical Therapy PC
• SL 22 Physical Therapy PC
• Suzanne Sladowsky

• Interventional Pain Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2023; 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.