Individual provider Active NPI

Douglas Allen, D.O.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New York, NY
National Provider Identifier
1700975240
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
235254 Issued in NY
Practice address
425 Madison Ave
11TH FL
New York, NY 10017-1110
Phone
(212) 245-7900
NPI assigned
Oct 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 235254 NY Primary

Addresses

Primary practice location

425 Madison Ave
11TH FL
New York, NY 10017-1110

Mailing address

425 Madison Ave
11TH FL
New York, NY 10017-1110
Phone (212) 245-7900

Other identifiers 1

IdentifierTypeStateIssuer
235254-0BOtherNYWORKERS COMPENSATION

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
I20090512000387 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 4587713086 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Toledo Medical College, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

425 Madison Ave
RM 302
New York, NY 10017-1121
Phone (212) 245-7900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas Allen, DO PC CurrentSince Apr 1, 2009 Accepting new patients

Locations

425 Madison Ave
Fl 11
New York, NY 10017
Phone (212) 227-7310

425 Madison Ave
Rm 302
New York, NY 10017
Phone (212) 245-7900

Organizations & group practices 1

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323734400000",
    "number": "1700975240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "11TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171110",
            "telephone_number": "212-245-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 MADISON AVE",
            "address_2": "11TH FL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100171110",
            "telephone_number": "212-245-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2011-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "235254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "235254-0B",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.