Organization Active NPI

Neurology Pain Care, PC

  • Clinical Neurophysiology Physician
  • Brooklyn, NY
National Provider Identifier
1760806681
Registry record updated Feb 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
243188 Issued in NY
Legal business name
NEUROLOGY PAIN CARE, PC
Practice address
6818 3Rd Ave
Brooklyn, NY 11220-5803
Phone
(718) 932-2004
Fax
(718) 932-2005
NPI assigned
Feb 12, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2014

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

Authorized official

Name
Mr. Andrew Ormson
Title
Credentialer
Phone
(917) 945-5436

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neurophysiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0600X 243188 NY Primary

Addresses

Primary practice location

6818 3Rd Ave
Brooklyn, NY 11220-5803

Mailing address

6818 3Rd Ave
Brooklyn, NY 11220-5803
Phone (718) 932-2004

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150904000317 NY Part B Supplier - Clinic/Group Practice 9830405943 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory
Tax ID family
Neurology Pain Care PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1392163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392163200000",
    "number": "1760806681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205803",
            "telephone_number": "718-932-2004",
            "fax_number": "718-932-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 3RD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205803",
            "telephone_number": "718-932-2004",
            "fax_number": "718-932-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEUROLOGY PAIN CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-12",
        "last_updated": "2014-02-12",
        "status": "A",
        "authorized_official_last_name": "ORMSON",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "917-945-5436",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2084N0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "NY",
            "license": "243188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2014; 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.