Organization Active NPI

Greenwich Pain and Spine

  • Pain Medicine (Anesthesiology) Physician
  • Greenwich, CT
National Provider Identifier
1780456319
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
GREENWICH PAIN AND SPINE
Practice address
500 W Putnam Ave Ste 440
Greenwich, CT 06830-6079
Phone
(973) 204-5383
NPI assigned
Oct 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Authorized official

Name
Christian J. Whitney, DONPI 1417121179
Title
Manager
Phone
(973) 204-5383

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

500 W Putnam Ave Ste 440
Greenwich, CT 06830-6079

Mailing address

500 W Putnam Ave Ste 440
Greenwich, CT 06830-6079
Phone (973) 204-5383

Other names 2

  • Greenwich Pain and Spine Doing business as
  • Restorative Pain Solutions LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240115000199 CT Part B Supplier - Clinic/Group Practice 2769834803 Receives reassigned benefits from 1 practitioner
Practice locations: Greenwich, CT

National Provider Directory

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": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1780456319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W PUTNAM AVE STE 440",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306079",
            "telephone_number": "973-204-5383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W PUTNAM AVE STE 440",
            "city": "GREENWICH",
            "state": "CT",
            "postal_code": "068306079",
            "telephone_number": "973-204-5383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENWICH PAIN AND SPINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A",
        "authorized_official_last_name": "WHITNEY",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "973-204-5383",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenwich Pain and Spine",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Restorative Pain Solutions LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.