Organization Active NPI

Dna Pain Management Services- FNP, PC

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1861762601
Registry record updated Feb 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
335423 Issued in NY
Legal business name
DNA PAIN MANAGEMENT SERVICES- FNP, PC
Practice address
202 Foster Ave
Brooklyn, NY 11230-2119
Phone
(347) 837-1005
Fax
(855) 604-7216
NPI assigned
Jan 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2013

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

Authorized official

Name
Mr. Omar Duqmaq, NP
Title
Nurse Practitioner
Phone
(347) 837-1005

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 335423 NY Primary

Addresses

Primary practice location

202 Foster Ave
Brooklyn, NY 11230-2119

Mailing address

202 Foster Ave
Brooklyn, NY 11230-2119
Phone (347) 837-1005

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1326240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360627200000",
    "number": "1861762601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "347-837-1005",
            "fax_number": "855-604-7216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FOSTER AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112302119",
            "telephone_number": "347-837-1005",
            "fax_number": "855-604-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DNA PAIN MANAGEMENT SERVICES- FNP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-11",
        "last_updated": "2013-02-12",
        "status": "A",
        "authorized_official_last_name": "DUQMAQ",
        "authorized_official_first_name": "OMAR",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "347-837-1005",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2013; 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.