ARTISAN SPORTS MEDICINE PC – NPI #1396868402
Pain Medicine

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.

ARTISAN SPORTS MEDICINE PC is a provider located in NEW YORK, NY. NPPES has assigned the NPI number 1396868402 to ARTISAN SPORTS MEDICINE PC on April 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208VP0014X from the Health Care Provider Taxonomy code set, which is classified as Pain Medicine, specializing in Interventional Pain Medicine

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ARTISAN SPORTS MEDICINE PC below.

NPI Profile for
ARTISAN SPORTS MEDICINE PC

NPI Number
1396868402
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ARTISAN SPORTS MEDICINE PC
Primary location
62 EAST 88TH STREET
LOWER LOBBY
NEW YORK, NY 10128
Phone: (212) 427-8136 Fax: (212) 427-0200
Mailing address
PO BOX 706
NEW YORK, NY 10028
Phone: (212) 427-8136 Fax: (212) 427-0200
Organization Subpart
No
Authorized Official
THOMAS LA RA
PRACTICE MANAGER
Phone: (212) 427-8136
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208VP0014X
- Pain Medicine / Interventional Pain Medicine (Primary)
225100000X
- Physical Therapist

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.