MANHATTAN PAIN MEDICINE, PLLC (NPI# 1760939599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760939599 |
| Entity Type | Organization |
| Organization Name | MANHATTAN PAIN MEDICINE, PLLC |
| Practice Address |
25 5th Ave Apt 1f New York NY 10003-4308 |
| Practice Telephone | 6465803538 |
| Practice Fax Number | 8448418382 |
| Mailing Telephone | 6465803538 |
| Mailing Fax Number | 8448418382 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2017-08-10 |
| Authorized Official Name | JASON SIEFFERMAN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6465803538 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
256815 | NY | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
250539 | NY | Allopathic & Osteopathic Physicians |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
337951 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
250539 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
25 5TH AVE APT 1F |
| City | NEW YORK |
| State | NY |
| Zip Code | 10003-4308 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841440617 | Jason Wayne Siefferman | Physical Medicine & Rehabilitation | 25 5th Ave Apt 1f, New York, NY 10003-4308 | 2008-09-29 |
| 1467852251 | Dora Perez | Nurse Practitioner | 25 5th Ave Apt 1f, New York, NY 10003-4308 | 2014-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245841410 | Therapeutic Alliance of New York | Psychologist | Stephanie Zola, 1 Union Square South - Apt. 21d, New York, NY 10003 | 2020-08-12 |
| 1518586999 | Sandra Zajac | Student in an Organized Health Care Education/Training Program | 350 E17th St, 15 Baird Hall R15bh52, New York, NY 10003 | 2020-04-15 |
| 1235767260 | Katharine Krushel | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Israel, First Avenue At 16th Street, 7th Floor, Bernstein Pavilion Department of Psychiatry, New York, NY 10003 | 2020-03-27 |
| 1942836861 | Suzanne Redlich | Social Worker | 340 East 17th Street, Silver L.s53, New York, NY 10003 | 2020-03-23 |
| 1245864271 | Maureen Kreider | Nurse Practitioner | 4 Irving Place, Con Edison Employee Wellness Center, New York, NY 10003 | 2020-02-28 |
| 1235780321 | Stacy Hibbert | Social Worker | 337 East Street, New York, NY 10003 | 2019-09-20 |
| 1841846862 | Miryam Alkayyali | Student in an Organized Health Care Education/Training Program | Mount Sinai Beth Isreal, First Avenue and 16th Street, New York, NY 10003 | 2019-08-15 |
| 1215580600 | Anna Catherine Kasprzak | Physician Assistant | 9 Nathan D Perlman Place, Bernstein Building, New York, NY 10003 | 2019-07-24 |
| 1154973105 | Bob P Silverstein | Social Worker | 300 Mercer St., #11e, Bob P. Silverstein, Lcsw, New York, NY 10003 | 2019-07-10 |
| 1962064378 | Simon Garceau | Orthopaedic Surgery | 301 E 17th Street - Nyu Langone Orthopedic Hospital, Education Office, New York, NY 10003 | 2019-07-05 |
| Find all providers in zip 10003 | ||||
| Taxonomy Code | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932342912 | Chelsea West Physical Therapy Pllc | Physical Medicine & Rehabilitation | 134 W 29th St Rm 1008, New York, NY 10001-5663 | 2009-04-07 |
| 1306082045 | Jignyasa Desai | Physical Medicine & Rehabilitation | 32 West 38 Th Street Suite 501, New York, NY 10001 | 2008-12-31 |
| 1003051251 | Helen Suguitan Oller | Physical Medicine & Rehabilitation | 506 Lenox Ave Rm 3123, New York, NY 10037-1802 | 2008-12-02 |
| 1306010129 | Thomas Sunil Mathew | Physical Medicine & Rehabilitation | 265 Madison Ave, 4th Floor, New York, NY 10016 | 2008-04-14 |
| 1366624793 | New York Neuro Rehabilitation Group Pllc | Physical Medicine & Rehabilitation | 508 W 26th St, 10 Floor, New York, NY 10001-5504 | 2007-11-27 |
| 1982801874 | Pradeep Penta | Physical Medicine & Rehabilitation | 317 E 34th St Fl 9, Murray Hill Medical Group, New York, NY 10016-4974 | 2007-07-02 |
| 1952506792 | Grand Central Physical Medicine&rehabilitation PC | Physical Medicine & Rehabilitation | 315 Madison Ave Rm 702, New York, NY 10017-5434 | 2007-06-20 |
| 1447381538 | Grand Street Medicine & Rehabilitation P C | Physical Medicine & Rehabilitation | 460 Grand St, New York, NY 10002-4058 | 2007-03-08 |
| 1295886612 | Dmitry Konstantinovich Nesen | Physical Medicine & Rehabilitation | 1420 York Ave Apt 1a, New York, NY 10021-3150 | 2007-01-13 |
| 1992712640 | Alicia R Carter | Physical Medicine & Rehabilitation | 425 Madison Ave Fl 11, New York, NY 10017-1134 | 2006-08-02 |
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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.