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

Northern Inerventional Medical LLC

Organization Pain Medicine (Anesthesiology) Physician · NPI 1821588120

Northern Inerventional Medical LLC is a Pain Medicine (Anesthesiology) Physician in Flushing, New York. Licensed in New York. Registered with an NPI since 2018.

Licensed in
NY
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

15001 Northern Blvd Fl 1
Flushing, NY 11354-3896
Phone: (201) 917-3455
Fax: (866) 461-8194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine (Anesthesiology) Physician (primary) Taxonomy 207LP2900X · Licence 253261 (NY)

Record details

NPI number1821588120
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Cho — Owner · (201) 960-4259
NPI enumeratedMay 14, 2018
Last updated in NPPESMay 14, 2018
Mailing addressPo Box 1791, Englewood Cliffs, NJ 07632-1191

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