Laser Spine & Pain Institute LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

259015-1 Issued in NY

Legal business name

LASER SPINE & PAIN INSTITUTE LLC

Practice address

90 Park Ave
Suite 1700
New York, NY 10016-1301

Phone

(212) 430-0312

Fax

(212) 430-0412

NPI assigned

May 24, 2011

Last updated

Jun 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Sukdeb Datta, MDNPI 1801902788

Title

President

Phone

(615) 479-4692

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Sukdeb Datta, MD

  • Interventional Pain Medicine Physician
  • New York, NY
  • NPI 1801902788
  NPD (past) Authorized official

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

{
    "created_epoch": "1306195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309132800000",
    "number": "1952694978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PARK AVE",
            "address_2": "SUITE 1700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161301",
            "telephone_number": "212-430-0312",
            "fax_number": "212-430-0412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PARK AVE",
            "address_2": "SUITE 1700",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100161301",
            "telephone_number": "212-430-0312",
            "fax_number": "212-430-0412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER SPINE & PAIN INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-24",
        "last_updated": "2011-06-27",
        "status": "A",
        "authorized_official_last_name": "DATTA",
        "authorized_official_first_name": "SUKDEB",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "615-479-4692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "259015-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laser & Mohs Surgery of New York PLLC
• Laser & Surgical Vein Care, P.C. (Fort Washington Medical Care)
• Laser and Corneal Surgery Associates, PC
• Laser Eye Practice of New York, PLLC
• Laser Periodontics Group PLLC
• Alice Laser, MD
• Alyssa New Laser
• Jordan Seth Laser, M.D.
• Charlyn Marie Laserna, M.D.
• Meredith Lash-Dardia, M.D.

• Interventional Pain Medicine Physician in New York, NY
• Providers in New York, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2011; 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.