Organization Active NPI

Origin Pain Management and Medical Care, PLLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brooklyn, NY
National Provider Identifier
1871771402
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC
Practice address
486 Lincoln PL
Brooklyn, NY 11238-6202
Phone
(718) 462-1100
Fax
(718) 462-1900
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Getahun Kifle, MDNPI 1932183258
Title
Owner
Phone
(718) 462-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X Primary

Addresses

Primary practice location

486 Lincoln PL
Brooklyn, NY 11238-6202

Mailing address

110 Leahy St
Jericho, NY 11753-1618
Phone (718) 462-1100

Other practice location 1

210 Linden Blvd
Brooklyn, NY 11226-3627
Phone (718) 462-1100

Other identifiers 1

IdentifierTypeStateIssuer
01909351MedicaidNY

National Provider Directory

National Provider Directory

Locations

486 Lincoln Pl
Brooklyn, NY 11238
Phone (347) 212-7685

210 Linden Blvd
Ste a
Brooklyn, NY 11226
Phone (718) 462-1100

210 Linden Blvd
Brooklyn, NY 11226
Phone (718) 462-1100

210 Linden Blvd a
Brooklyn, NY 11226
Phone (718) 462-1100

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1871771402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 LEAHY ST",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117531618",
            "telephone_number": "718-462-1100",
            "fax_number": "718-462-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 LINCOLN PL",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112386202",
            "telephone_number": "718-462-1100",
            "fax_number": "718-462-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 Linden Blvd",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112263627",
            "country_code": "US",
            "telephone_number": "718-462-1100",
            "fax_number": "718-462-1900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KIFLE",
        "authorized_official_first_name": "GETAHUN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-462-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01909351",
            "state": "NY"
        }
    ],
    "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 Jul 21, 2022; 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.