Active NPI
Cardinal Spine and Pain Medicine PC
- Pain Medicine Physician
- Wappingers Falls, NY
National Provider Identifier
1780933499
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- 243413
- Legal business name
- CARDINAL SPINE AND PAIN MEDICINE PC
- Practice address
- 1323 Route 9
Suite 206
Wappingers Falls, NY 12590-4904 - Phone
- (845) 297-2225
- NPI assigned
- Sep 10, 2012
- 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
- Niraj Sharma, MD
- Title
- Owner
- Phone
- (215) 901-5322
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | 243413 | NY | Primary |
Addresses
Primary practice location
1323 Route 9
Suite 206
Wappingers Falls, NY 12590-4904
Mailing address
PO Box 512
Fishkill, NY 12524-0512
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20121029000645 | NY | Part B Supplier - Clinic/Group Practice | 7416107412 |
Receives reassigned benefits from 1 practitioner Practice locations: Wappingers Falls, NY |
National Provider Directory
National Provider DirectoryPractitioners & 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": "1347235200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351814400000",
"number": "1780933499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 512",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125240512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1323 ROUTE 9",
"address_2": "SUITE 206",
"city": "WAPPINGERS FALLS",
"state": "NY",
"postal_code": "125904904",
"telephone_number": "845-297-2225"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARDINAL SPINE AND PAIN MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2012-09-10",
"last_updated": "2012-11-02",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "NIRAJ",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "215-901-5322",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": "NY",
"license": "243413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wappingers Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; 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.