NPIMap

Organization Active NPI

F Themistocle MD PC

  • Pain Medicine Physician
  • Bronx, NY
National Provider Identifier
1780811141
Registry record updated Jan 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
217774 Issued in NY
Legal business name
F THEMISTOCLE MD PC
Practice address
2445 Arthur Ave
Bronx, NY 10458-6003
Phone
(718) 924-7909
NPI assigned
Jun 12, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2010

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

Authorized official

Name
Fenar Themostocle, MD
Title
Owner
Phone
(718) 924-7909

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 217744 NY
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X 217774 NY Primary
Pain Clinic/Center 261QP3300X 217744 NY

Addresses

Primary practice location

2445 Arthur Ave
Bronx, NY 10458-6003

Mailing address

9601 Springfield Blvd
Queens Village, NY 11429-1327
Phone (718) 924-7909

Other identifiers 1

IdentifierTypeStateIssuer
02161351MedicaidNY

National Provider Directory

National Provider Directory

Locations

2008 Eastchester Rd
Bronx, NY 10461
Phone (718) 794-0600

9601 Springfield Blvd
Queens Vlg, NY 11429

Practitioners & affiliated clinicians

Practitioners 4

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": "1244764800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262908800000",
    "number": "1780811141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 SPRINGFIELD BLVD",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114291327",
            "telephone_number": "718-924-7909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 ARTHUR AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104586003",
            "telephone_number": "718-924-7909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F THEMISTOCLE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-12",
        "last_updated": "2010-01-08",
        "status": "A",
        "authorized_official_last_name": "THEMOSTOCLE",
        "authorized_official_first_name": "FENAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-924-7909",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "217744",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "217774",
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NY",
            "license": "217744",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02161351",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.