Active NPI
Eastern Pain Medicine PC
- Pain Medicine (Anesthesiology) Physician
- Fishkill, NY
National Provider Identifier
1831475896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 225874
- Legal business name
- EASTERN PAIN MEDICINE PC
- Practice address
- 1003 Main St
Fishkill, NY 12524-1786 - Phone
- (845) 471-0013
- Fax
- (845) 613-2493
- NPI assigned
- Oct 21, 2011
- Last updated
- Mar 25, 2020
- 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
- Mrs. Vimala Upadhyayula
- Title
- Manager
- Phone
- (845) 471-0014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 225874 | NY | Primary |
Addresses
Primary practice location
1003 Main St
Fishkill, NY 12524-1786
Mailing address
1003 Main St
Fishkill, NY 12524-1786
Phone (845) 471-0013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2083303 | Eastern Pain Medicine PC | Certificate of waiver | Sep 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
66 Middlebush Rd
Ste G101
Wappingers Falls, NY 12590
Phone (845) 471-0013
Practitioners & affiliated clinicians
Practitioners 34
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Pain Medicine (Anesthesiology) Physician
- Fishkill, NY
- NPI 1952309460
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1376541946
-
- Family Nurse Practitioner
- New Windsor, NY
- NPI 1649533985
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1346248929
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1184669475
-
- Family Nurse Practitioner
- Middletown, NY
- NPI 1801967484
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1417985557
-
- Certified Registered Nurse Anesthetist
- Albany, NY
- NPI 1952309478
-
- Certified Registered Nurse Anesthetist
- Poughkeepsie, NY
- NPI 1124026653
-
- Certified Registered Nurse Anesthetist
- Kingston, NY
- NPI 1851370308
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1952630998
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1245238690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1831475896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 MAIN ST",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241786",
"telephone_number": "845-471-0013",
"fax_number": "845-613-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 MAIN ST",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241786",
"telephone_number": "845-471-0013",
"fax_number": "845-613-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN PAIN MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-21",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "UPADHYAYULA",
"authorized_official_first_name": "VIMALA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "845-471-0014",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "225874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.