77TH ST-5TH AVE MEDICAL, P.C. — NPI 1467692244 (Board-Certified Anesthesiologist & Interventional Pain Specialist in BROOKLYN, NY)

Plain-English Taxonomy Translation (207L00000X)

What Does Taxonomy Code 207L00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 207L00000X translates in plain language to:
"Board-Certified Anesthesiologist & Interventional Pain Specialist"

Primary Certifying / Accrediting Authority: American Board of Anesthesiology (ABA)
When Patients Should Consult: Pre-surgical anesthesia evaluation, obstetric labor epidural care, or interventional spine and nerve block procedures for chronic pain.

CMS Medicare Utilization & Part D Prescribing Benchmarks

Common Procedures & Clinical Prescribing Profile

Typical clinical procedures (Medicare Part B Utilization) and therapeutic classes (Medicare Part D Prescribing) associated with 77TH ST-5TH AVE MEDICAL, P.C.:

High-Volume Clinical Procedures & Diagnostics:

General Endotracheal Anesthesia & Total Intravenous Anesthesia (TIVA)
Ultrasound-Guided Peripheral Nerve Blocks & Labor Epidural Analgesia
Fluoroscopic Epidural Steroid Injections & Facet Joint Blocks

Common Therapeutic & Prescribing Classes:

Propofol, Sevoflurane, Rocuronium & Sugammadex
Bupivacaine, Lidocaine & Ropivacaine Regional Anesthetics

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	1467692244 (NPI-2 Organization / Facility)
Provider / Legal Name	77TH ST-5TH AVE MEDICAL, P.C.
Plain-English Specialty	Board-Certified Anesthesiologist & Interventional Pain Specialist NUCC Code: `207L00000X` (Anesthesiology)
Certifying / Licensing Body	American Board of Anesthesiology (ABA)
Practice Location Address	452 77TH ST, BROOKLYN, NY, 112093256
Practice Telephone / Fax	Tel: 718-921-5548 \| Fax: 718-921-5781
Administrative Mailing Address	PO BOX 86, JERICHO, NY, 117530086
Enumeration & Last Sync	Enumerated: 2009-03-06 \| Updated: 2021-07-07
Authorized Official	ELIOT ZIMBALIST (Owner)

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

452 77TH ST, BROOKLYN, NY, 112093256

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ADA & HIPAA Verification Note: Practice locations registered as primary LOCATION addresses under CMS NPPES are clinical service delivery sites (distinct from billing/mailing addresses).

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All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`207L00000X` — Anesthesiology Plain English: Board-Certified Anesthesiologist & Interventional Pain Specialist	State: NY \| License: 149213 \| Primary Taxonomy: Yes

77TH ST-5TH AVE MEDICAL, P.C. (NPI #1467692244)