Active NPI
William B Jones, M.D.
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Rockville Centre, NY
National Provider Identifier
1962512178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- License
- 209039
- Practice address
- 165 N Village Ave
Suite # 5
Rockville Centre, NY 11570-3761 - Phone
- (516) 766-0393
- Fax
- (516) 766-2405
- NPI assigned
- Aug 30, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 209039 | NY | Primary |
Addresses
Primary practice location
165 N Village Ave
Suite # 5
Rockville Centre, NY 11570-3761
Mailing address
165 N Village Ave
Suite # 5
Rockville Centre, NY 11570-3761
Phone (516) 766-0393
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01910434 | Medicaid | NY |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209039 | NY | MD | Pain Medicine (Physical Medicine & Rehabilitation) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Phoenix Medical Services PC | Current | Accepting new patients |
Locations
165 N Village Ave
Ste 5
Rockville Ctr, NY 11570
Phone (516) 400-6020
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Interventional Pain Medicine Physician
- Rockville Centre, NY
- NPI 1245450857
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962512178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE",
"address_2": "SUITE # 5",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703761",
"telephone_number": "516-766-0393",
"fax_number": "516-766-2405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 N VILLAGE AVE",
"address_2": "SUITE # 5",
"city": "ROCKVILLE CENTRE",
"state": "NY",
"postal_code": "115703761",
"telephone_number": "516-766-0393",
"fax_number": "516-766-2405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "WILLIAM",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "NY",
"license": "209039",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01910434",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockville Centre, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.