Active NPI
Origin Pain Management and Medical Care, PLLC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Getahun Kifle, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01909351 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Brooklyn, NY
- NPI 1932183258
-
- Physician Assistant
- Staten Island, NY
- NPI 1972829133
-
- Physician Assistant
- Forest Hills, NY
- NPI 1396063566
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.