Active NPI
Pomona Pain Management
- Physical Medicine & Rehabilitation Physician
- Pomona, NY
National Provider Identifier
1750332128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 1487973
- Legal business name
- POMONA PAIN MANAGEMENT
- Practice address
- 11 Medical Park Dr
Suite 104
Pomona, NY 10970-3559 - Phone
- (845) 354-6700
- NPI assigned
- May 12, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence M. Model, MD
- Title
- Director
- Phone
- (845) 354-6700
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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | X0110912 | NY | |
| Physical Medicine & Rehabilitation Physician | 208100000X | 1487973 | NY | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 1487973 | NY | |
| Sports Medicine (Physical Medicine & Rehabilitation) Physician | 2081S0010X | 1487973 | NY | |
| Pain Clinic/Center | 261QP3300X | 135753 | NY |
Addresses
Primary practice location
11 Medical Park Dr
Suite 104
Pomona, NY 10970-3559
Mailing address
11 Medical Park Dr
Suite 104
Pomona, NY 10970-3559
Phone (845) 354-6700
National Provider Directory
National Provider DirectoryLocations
11 Medical Park Dr
Ste 104
Pomona, NY 10970
Phone (845) 354-5180
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Delray Beach, FL
- NPI 1184621054
-
- Chiropractor
- Pomona, NY
- NPI 1902983885
-
- Physical Therapist
- Pomona, NY
- NPI 1477520765
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1750332128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK DR",
"address_2": "SUITE 104",
"city": "POMONA",
"state": "NY",
"postal_code": "109703559",
"telephone_number": "845-354-6700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 MEDICAL PARK DR",
"address_2": "SUITE 104",
"city": "POMONA",
"state": "NY",
"postal_code": "109703559",
"telephone_number": "845-354-6700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "POMONA PAIN MANAGEMENT",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-12",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "MODEL",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "DIRECTOR",
"authorized_official_telephone_number": "845-354-6700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NY",
"license": "X0110912",
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation",
"state": "NY",
"license": "1487973",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "1487973",
"primary": false
},
{
"code": "2081S0010X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Sports Medicine",
"state": "NY",
"license": "1487973",
"primary": false
},
{
"code": "261QP3300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Pain",
"state": "NY",
"license": "135753",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.