Organization Active NPI

RJB Medical PC

  • Interventional Pain Medicine Physician
  • New York, NY
National Provider Identifier
1851273783
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
RJB MEDICAL PC
Practice address
220 5TH Ave 11TH FL
Suite 24
New York, NY 10001-7708
Phone
(909) 442-4965
NPI assigned
Jul 22, 2025
Organization subpart
Yes
Parent organization
RJB MEDICAL, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Lisa Kennedy
Title
Coo
Phone
(212) 620-3053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

220 5TH Ave 11TH FL
Suite 24
New York, NY 10001-7708

Mailing address

169 Madison Ave Ste 15824
New York, NY 10016-5101
Phone (909) 679-3482

Other names 1

  • Innerwell Doing business as

National Provider Directory

National Provider Directory
Tax ID family
RJB Medical PC2 organizations share this tax ID, including this one
Part of
RJB Medical PC

Other organizations with this tax ID 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1753142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1851273783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "169 MADISON AVE STE 15824",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100165101",
            "telephone_number": "909-679-3482",
            "fax_number": "844-440-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 5TH AVE 11TH FL",
            "address_2": "SUITE 24",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100017708",
            "telephone_number": "909-442-4965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RJB MEDICAL PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RJB MEDICAL, PC",
        "enumeration_date": "2025-07-22",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "212-620-3053"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Innerwell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.