EMPIRE STATE MEDICAL PC NPI 1952177057

NPI Information

  • NPI: 1952177057
  • Provider Name: EMPIRE STATE MEDICAL PC
  • Classification: Pain Medicine - 208VP0014X
  • Specialization: Interventional Pain Medicine
  • Entity Type: Organization
  • Address: 10649 SUTPHIN BLVD
    JAMAICA, NY
    ZIP 11435
  • Phone: (929) 393-1966

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NPI Details

EMPIRE STATE MEDICAL PC is an interventional pain medicine pain medicine in Jamaica, NY. The provider is interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment. EMPIRE STATE MEDICAL PC NPI is 1952177057. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10649 SUTPHIN BLVD
JAMAICA, NY
ZIP 11435-135
Phone: (929) 393-1966
Fax: (929) 755-4044

The provider's authorized official is Samuel Theagene .
The authorized official title is Owner and has the following contact phone number (347) 270-8353.

The enumeration date for this NPI number is 11/29/2023 and was last updated on 11/29/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208VP0014XPain MedicineInterventional Pain MedicineYes

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: 11/21/2025

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