Organization Active NPI

Pain Managment of Boro Park PC

  • Pain Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1871824847
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PAIN MANAGMENT OF BORO PARK PC
Practice address
5024 10TH Ave
#1F
Brooklyn, NY 11219-3302
Phone
(718) 435-6441
Fax
(718) 435-6741
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Dr. Samy Lasheen, MDNPI 1184662645
Title
Director
Phone
(718) 435-6441

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

5024 10TH Ave
#1F
Brooklyn, NY 11219-3302

Mailing address

5024 10TH Ave
#1F
Brooklyn, NY 11219-3302
Phone (718) 435-6441

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100315000390 NY Part B Supplier - Clinic/Group Practice 9133254212 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

5024 10th Ave
Ste 1F
Brooklyn, NY 11219
Phone (212) 472-0077

5024 10th Ave
#1F
Brooklyn, NY 11219
Phone (718) 435-6441

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1871824847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 10TH AVE",
            "address_2": "#1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193302",
            "telephone_number": "718-435-6441",
            "fax_number": "718-435-6741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 10TH AVE",
            "address_2": "#1F",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112193302",
            "telephone_number": "718-435-6441",
            "fax_number": "718-435-6741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGMENT OF BORO PARK PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "LASHEEN",
        "authorized_official_first_name": "SAMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "718-435-6441",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "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 Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.