Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Empire State Medical PC

Organization Interventional Pain Medicine Physician · NPI 1952177057

Empire State Medical PC is an Interventional Pain Medicine Physician in Jamaica, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

10649 Sutphin Blvd
Jamaica, NY 11435-5135
Phone: (929) 393-1966
Fax: (929) 755-4044
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Pain Medicine Physician (primary) Taxonomy 208VP0014X

Record details

NPI number1952177057
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Theagene — Owner · (347) 270-8353
Other names Samuel Theagene
NPI enumeratedNovember 29, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing addressPo Box 120328, Saint Albans, NY 11412-0328

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