Organization Active NPI

Multi-Specialty Pain Management, PC

  • Pain Medicine (Anesthesiology) Physician
  • Bronx, NY
National Provider Identifier
1891820726
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
203113 Issued in NY
Legal business name
MULTI-SPECIALTY PAIN MANAGEMENT, PC
Practice address
3713 E Tremont Ave
Bronx, NY 10465-2054
Phone
(718) 792-4878
Fax
(347) 851-6756
NPI assigned
Feb 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Dr. Brian Scott Haftel, MDNPI 1497846166
Title
President
Phone
(718) 792-4878

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 (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 203113 NY Primary

Addresses

Primary practice location

3713 E Tremont Ave
Bronx, NY 10465-2054

Mailing address

3713 E Tremont Ave
Bronx, NY 10465-2054
Phone (718) 792-4878

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040313000059 NY Part B Supplier - Clinic/Group Practice 1254220650 Receives reassigned benefits from 3 practitioners
Practice locations: Brooklyn, NY; Westbury, NY; Ridgewood, NY; New Hyde Park, NY; Melville, NY; Huntington Station, NY; Forest Hills, NY; Farmingdale, NY…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D1105868Multi-Specialty Pain Management, PC3713 East Tremont Avenue, Bronx, NY 10465Certificate of waiverOct 22, 2027

National Provider Directory

National Provider Directory

Locations

3713 E Tremont Ave
Frnt 2
Bronx, NY 10465
Phone (718) 822-4262

Practitioners & affiliated clinicians

Practitioners 11

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1891820726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3713 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652054",
            "telephone_number": "718-792-4878",
            "fax_number": "347-851-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3713 E TREMONT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104652054",
            "telephone_number": "718-792-4878",
            "fax_number": "347-851-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTI-SPECIALTY PAIN MANAGEMENT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "HAFTEL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-792-4878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "203113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.