PAIN, SPINE, AND SPORT MEDICINE, PC (NPI# 1174042949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174042949 |
| Entity Type | Organization |
| Organization Name | PAIN, SPINE, AND SPORT MEDICINE, PC |
| Practice Address |
873 Route 45 New City NY 10956-1116 |
| Mailing Address |
Po Box 489 Thiells NY 10984-0489 |
| Practice Telephone | 8455705260 |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | DR. MARC ROSENBLATT (OWNER) |
| Authorized Official Telephone | 8455705260 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
148797 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
873 ROUTE 45 |
| City | NEW CITY |
| State | NY |
| Zip Code | 10956-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962451989 | Matthew Rosen | Psychologist | 873 Route 45, Suite 204a, New City, NY 10956-1116 | 2006-05-08 |
| 1770829624 | Rockland Independent Living Center, Inc. | In Home Supportive Care | 873 Route 45, Suite 108, New City, NY 10956-1116 | 2012-12-21 |
| 1528358082 | 873 Rt 45 Physical Therapy | Physical Therapist | 873 Route 45, Suite 102, New City, NY 10956-1106 | 2011-04-18 |
| 1831418359 | Pediatric Physical and Occupational Therapy of Hudson Valley, Pllc | Occupational Therapist | 873 Route 45, Suite 107, New City, NY 10956-1106 | 2010-05-24 |
| 1689680282 | Andrew David Shiller | Physical Medicine & Rehabilitation | 873 Route 45, Suite 102, New City, NY 10956-1106 | 2006-08-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023659703 | Shadae Keilia Kleckley | Technician | 19 Dixwell Road, New City, NY 10956 | 2019-10-03 |
| 1326518911 | Jenna Marie Rogoff | Occupational Therapy Assistant | 254 S Main Street Suite 400, New City, NY 10956 | 2018-11-27 |
| 1326515065 | Dynamic Dental Arts of Rockland Pllc | Dentist | 345 North Main St. Ste. 5, New City, NY 10956 | 2018-10-31 |
| 1760981062 | Alyssa Rothschild Taxin | Nutritionist | 18 Snowdrop Drive, New City, NY 10956 | 2018-02-02 |
| 1245738103 | Martin A Petersel | Counselor | 3 Rexal Court, New City, NY 10956 | 2018-01-25 |
| 1831601475 | Carissa Aurellano | Occupational Therapist | 873 Rte 45 Ste 102, New City, NY 10956 | 2017-11-03 |
| 1376064055 | Evelyn Ringel | Specialist | 14 Concord Drive, New City, New City, NY 10956 | 2017-07-03 |
| 1720517089 | Orlee Elizabeth Krass | Specialist | 2, Woodland Road, New City, NY 10956 | 2017-06-08 |
| 1639617293 | Ann Damiani Orlando | Registered Nurse | 32 Twin Elms Lane, New City, NY 10956 | 2017-02-03 |
| 1225496300 | Timber Counseling Corp. | Community/Behavioral Health | 115 North Main Street, New City, NY 10956 | 2016-02-04 |
| Find all providers in zip 10956 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695812 | Islandia Medical Pllc | Pain Medicine | 1726 Veterans Memorial Hwy, Islandia, NY 11749-1512 | 2020-07-03 |
| 1689205940 | Caliber Medical, PC | Pain Medicine | 635 Madison Ave Fl 14, New York, NY 10022-1009 | 2020-01-27 |
| 1437792413 | Kings Highway Physicians Group Pllc | Pain Medicine | 144 E 98th St, Brooklyn, NY 11212-3841 | 2019-10-23 |
| 1114411675 | Health Quest Medical Practice, PC | Pain Medicine | 644 Stoneleigh Ave Ste 103, Carmel, NY 10512-2451 | 2018-06-19 |
| 1265934913 | Derrick Trent | Pain Medicine | 626 Riverside Dr Apt 21c, New York, NY 10031-7230 | 2018-03-08 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1689123929 | Integrative Pain & Wellness Associates, LLC | Pain Medicine | 1360 North Forest Road, Suite 115, Williamsville, NY 14221-1200 | 2016-09-28 |
| 1972978153 | Shankar Uma Ganti | Pain Medicine | 20 Willow Ln, Irvington, NY 10533-1110 | 2015-12-14 |
| 1487029815 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 6430 Transit Rd, Suite 300, Depew, NY 14043-1033 | 2015-12-10 |
| 1770958100 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5100 W Taft Rd Ste 1b, Liverpool, NY 13088-3808 | 2015-12-10 |
| Find all providers with the same taxonomy | ||||
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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.