SPINE AND PAIN MEDICAL PLLC (NPI# 1538510466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1538510466 |
Entity Type | Organization |
Organization Name | SPINE AND PAIN MEDICAL PLLC |
Practice Address |
83 Montgomery Ave Scarsdale NY 10583-5104 |
Mailing Address |
200 S Broadway Suite 205 Tarrytown NY 10591-4500 |
Practice Telephone | 9146819089 |
Mailing Telephone | 9175727108 |
Enumeration Date | 2016-06-22 |
Last Update Date | 2016-06-22 |
Authorized Official Name | MR. DAE KANG (BILLING MANAGER) |
Authorized Official Telephone | 9146819089 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
6143 | NY | Ambulatory Health Care Facilities |
Street Address |
83 MONTGOMERY AVE |
City | SCARSDALE |
State | NY |
Zip Code | 10583-5104 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740275262 | Susan M Cohen | Physical Therapist | 83 Montgomery Ave, Scarsdale, NY 10583-5104 | 2005-09-12 |
1689152456 | Thomas M Dicarlo | Chiropractor | 83 Montgomery Ave, Scarsdale, NY 10583-5104 | 2018-08-02 |
1043723026 | Violeta Dzaferovic | Physical Therapist | 83 Montgomery Ave, Scarsdale, NY 10583-5104 | 2017-11-13 |
1730465477 | Scarsdale Chiropractic & Acupuncture Pllc | Acupuncturist | 83 Montgomery Ave, Scarsdale, NY 10583-5104 | 2011-10-26 |
1740574078 | Westchester Chiropractic Pllc | Chiropractor | 83 Montgomery Ave, Suite A, Scarsdale, NY 10583-5104 | 2011-06-03 |
1225337850 | Flowing Rivers Acupuncture PC | Acupuncturist | 83 Montgomery Ave, Scarsdale, NY 10583-5104 | 2011-03-22 |
1952606402 | Nell A Agudo | Physical Therapist | 83 Montgomery Ave, Scarsdale, NY 10583-5104 | 2011-01-13 |
1962703488 | Scarsdale Physical Therapy | Clinic/Center | 83 Montgomery Ave, Scarsdale, NY 10583-5104 | 2010-11-15 |
1346421708 | Marco Caruso | Chiropractor | 83 Montgomery Ave, Floor 1, Scarsdale, NY 10583-5104 | 2007-11-14 |
1972679629 | Scarsdale Physical Therapy and Sports Rehabilitation Services PC | Clinic/Center | 83 Montgomery Ave, Scarsdale, NY 10583 | 2006-11-27 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982168290 | Lisa Lynn Smith | Acupuncturist | 531 Central Park Avenue, Suite 304, Searsdale, NY 10583 | 2019-01-31 |
1255805891 | Alexa Rose Wernick | Social Worker | 14 Harwood Ct Ste 512514, Scarsdale, NY 10583 | 2019-01-16 |
1295205854 | Christiaan Greer | Psychologist | 109 Montgomery Road Suite 203, Scarsdale, NY 10583 | 2018-11-27 |
1528537891 | Mobility Pro Pt PC | Physical Therapist | 783 White Plains Rd, Scarsdale, NY 10583 | 2018-11-16 |
1255832218 | Rochelle Sanders | Psychologist | 235 Nelson Road, Scarsdale, NY 10583 | 2018-02-26 |
1750808408 | Amy L Mittelstadt | Specialist | 9 Sentry Place Tr, Scarsdale, NY 10583 | 2017-08-24 |
1356861017 | Amanda Marie Rocco | Pharmacist | 1064 Wilmot Road, Scarsdale, NY 10583 | 2017-06-23 |
1609246065 | Safeta Kolenovic | Licensed Practical Nurse | 441 North Central Park Ave., #872, Scarsdale, NY 10583 | 2015-09-29 |
1003293168 | Scarsdale Dental Group | Dentist | 14 Harwood Ct., Ste 211, Scarsdale, NY 10583 | 2015-04-28 |
1417343484 | Parviz Lalezari | Internal Medicine | One Church Lane, Scarsdale, NY 10583 | 2015-04-07 |
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Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538501788 | Central Avenue Office-based Surgery, P.C. | Clinic/Center | 495 Central Park Ave, Suite 305b, Scarsdale, NY 10583-1068 | 2013-07-29 |
1508183120 | Eugene J Sidoti Jr Md PC | Clinic/Center | 688 White Plains Rd, Suite 220, Scarsdale, NY 10583-5059 | 2010-04-21 |
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1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.