Individual provider Active NPI

Anuthep Benja-Athon, M.D.

  • Pain Medicine Physician
  • New York, NY
National Provider Identifier
1932176229
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
160223 Issued in NY
Practice address
210 E 36TH St
Ground Level
New York, NY 10016-3669
Phone
(212) 545-7076
NPI assigned
Mar 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X 160223 NY Primary

Addresses

Primary practice location

210 E 36TH St
Ground Level
New York, NY 10016-3669

Mailing address

210 E 36TH St
Ground Level
New York, NY 10016-3669
Phone (212) 545-7076

Other identifiers 1

IdentifierTypeStateIssuer
01215567MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120111000505 NY Practitioner - Physical Medicine and Rehabilitation 7810164035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
160223NYMDPain Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1141516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1932176229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 E 36TH ST",
            "address_2": "GROUND LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163669",
            "telephone_number": "212-545-7076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 E 36TH ST",
            "address_2": "GROUND LEVEL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100163669",
            "telephone_number": "212-545-7076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENJA-ATHON",
        "first_name": "ANUTHEP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-05",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "160223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01215567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.