Pomona Pain Management is a
Clinic/center - Pain based in Pomona, New York. Pomona Pain Management is licensed to practice in New York (license number 135753) and their current practice location is
11 Medical Park Dr, Suite 104, Pomona, New York. It can be reached at their office (for appointments etc.) via phone at
(845) 354-6700.
NPI number for Pomona Pain Management is 1750332128 and their current mailing address is 11 Medical Park Dr, Suite 104, Pomona, New York. Pomona Pain Management
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1750332128.
Healthcare Provider's Profile
| Full Name | Pomona Pain Management |
|---|
| Type | Facility |
|---|
| Speciality | Clinic/center - Pain |
|---|
| Location | 11 Medical Park Dr, Pomona, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750332128
- Provider Enumeration Date: 05/12/2006
- Last Update Date: 08/22/2020
Medical Identifiers
Medical identifiers for Pomona Pain Management such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750332128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | X0110912 (New York) | Primary |
| 208100000X | Physical Medicine & Rehabilitation | 1487973 (New York) | Primary |
| 2081P2900X | Physical Medicine & Rehabilitation - Pain Medicine | 1487973 (New York) | Primary |
| 2081S0010X | Physical Medicine & Rehabilitation - Sports Medicine | 1487973 (New York) | Primary |
| 261QP3300X | Clinic/center - Pain | 135753 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pomona Pain Management is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Pomona Pain Management
11 Medical Park Dr, Suite 104,
Pomona, NY 10970-3559
Ph: (845) 354-6700 | Pomona Pain Management
11 Medical Park Dr, Suite 104,
Pomona, NY 10970-3559
Ph: (845) 354-6700 |
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