OrganizationActive
Empire State Medical PC
NPI 1952177057 · Interventional Pain Medicine Physician · Jamaica, NY
Provider details
- NPI number
- 1952177057
- Entity type
- Organization
- Primary specialty
- Interventional Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Samuel Theagene, Owner(347) 270-8353
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10649 Sutphin Blvd
Jamaica, NY 11435-5135
Phone: (929) 393-1966
Fax: (929) 755-4044
Street-level locationGet directions
Mailing address
Po Box 120328
Saint Albans, NY 11412-0328
Other names (DBA / former)
- Other name
- Samuel Theagene
Registry dates
- Enumerated
- 2023-11-29
- Last updated
- 2023-11-29
- Certified
- 2023-11-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.