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EMPIRE STATE MEDICAL PC
NPI 1952177057
Pain Medicine - Interventional Pain Medicine in Jamaica, NY

Active since November 29, 2023
10649 SUTPHIN BLVD, JAMAICA, NY 11435(929) 393-1966(929) 755-4044 Get Directions Write a Review

NPPES record last updated: November 29, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Empire State Medical Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMPIRE STATE MEDICAL PC (NPI 1952177057) is a healthcare organization registered as an interventional pain medicine in Jamaica, New York and active in the NPI registry since November 2023. The organization lists Samuel Theagene, Owner, as its authorized official.

NPPES Registry Identity

NPI1952177057
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameEMPIRE STATE MEDICAL PC
Location Address10649 SUTPHIN BLVDJamaica, NY 11435-5135
Mailing AddressPo Box 120328Saint Albans, NY 11412-0328 · (347) 270-8353 · Fax (347) 826-1917
Phone(929) 393-1966
Fax(929) 755-4044
Organization SubpartNo
Authorized OfficialSamuel TheageneOwner · (347) 270-8353
Enumeration DateNovember 29, 2023
NPPES CertifiedNovember 29, 2023
✔ NPI 1952177057 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
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.
10649 SUTPHIN BLVD, Jamaica, NY 11435
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Other Names 1

Other NameSamuel Theagene

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Empire State Medical PC's NPI number?

The NPI number for Empire State Medical PC is 1952177057. It was assigned to this organization in the NPPES registry on November 29, 2023. The provider is also known as Samuel Theagene.

Where is Empire State Medical PC located?

Empire State Medical PC is located at 10649 Sutphin Blvd, Jamaica, NY 11435. The listed phone number is (929) 393-1966.

What is Empire State Medical PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

When was this NPI record last updated?

The NPPES record for Empire State Medical PC was last updated on November 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.