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ORIGIN PAIN MANAGEMENT AND MEDICAL CARE PLLC NPI 1871771402


NPI Information

NPI: 1871771402
Provider Name: ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC
Classification: Physical Medicine & Rehabilitation - 2081P2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
486 LINCOLN PL
BROOKLYN, NY
ZIP 11238
Phone: (718) 462-1100
Get Directions

ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC is a pain medicine physical medicine rehabilitation in Brooklyn, NY. The provider is 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. ORIGIN PAIN MANAGEMENT AND MEDICAL CARE, PLLC NPI is 1871771402. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

486 LINCOLN PL
BROOKLYN, NY
ZIP 11238-202
Phone: (718) 462-1100
Fax: (718) 462-1900

The provider's authorized official is Getahun Kifle .
The authorized official title is Owner and has the following contact phone number (718) 462-1100.

The enumeration date for this NPI number is 2/6/2008 and was last updated on 7/21/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12081P2900XPhysical Medicine & RehabilitationPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101909351MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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