LONG ISLAND NEUROSURGICAL & PAIN SPECIALISTS, PLLC (NPI# 1346656105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346656105 |
| Entity Type | Organization |
| Organization Name | LONG ISLAND NEUROSURGICAL & PAIN SPECIALISTS, PLLC |
| Practice Address |
1175 Montauk Hwy Suite 6 West Islip NY 11795-4939 |
| Practice Telephone | 6314225371 |
| Practice Fax Number | 6318938012 |
| Mailing Telephone | 6314225371 |
| Mailing Fax Number | 6318938012 |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | DR. AMIT SHARMA (VICE-PRESIDENT) |
| Authorized Official Telephone | 9174006184 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207T00000X | Neurological Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
Allopathic & Osteopathic Physicians |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | LONG ISLAND NEUROSURGICAL & PAIN SPECIALISTS, PLLC | 1175 Montauk Highway, Suite 6, West Islip, Ny 117954939 |
| Street Address |
1175 MONTAUK HWY SUITE 6 |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309037 | Rajkumar G Mariwalla | Internal Medicine | 1175 Montauk Hwy, Suite #3, West Islip, NY 11795-4939 | 2006-01-02 |
| 1669014197 | Amit Sharma Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-10-16 |
| 1811548142 | Eric Fanaee Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-09-27 |
| 1609423821 | Kelly Heraghty | Nurse Practitioner | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2019-08-22 |
| 1669943510 | Carolann Sutherland | Physician Assistant | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2018-12-17 |
| 1841717618 | George Kakoulides Md PC | Neurological Surgery | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2017-08-23 |
| 1457741035 | Rajesh Mariwalla, Md PC | Pediatrics | 1175 Montauk Hwy, Suite 4, West Islip, NY 11795-4939 | 2015-02-03 |
| 1972914596 | Nassau-suffolk Medical Services, P.C. | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2014-05-16 |
| 1922399757 | Eujenia Momchilova Darakchieva | Physician Assistant | 1175 Montauk Hwy, Suite 3, West Islip, NY 11795-4939 | 2011-04-27 |
| 1306165949 | Diana Besleaga | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2010-05-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 208VP0014X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Interventional 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669014197 | Amit Sharma Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-10-16 |
| 1811548142 | Eric Fanaee Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528617917 | New York Pain Consultants LLC | Pain Medicine | 550 Mamaroneck Ave Ste 503, Harrison, NY 10528-1609 | 2019-09-09 |
| 1528553559 | Surgical Pain Center of The Adirondacks, LLC | Pain Medicine | 470 Tom Miller Rd, Plattsburgh, NY 12901-6432 | 2018-06-22 |
| 1922509769 | Bl Pain Management Pllc | Pain Medicine | 9618 63rd Dr Ste 202, Rego Park, NY 11374-2239 | 2018-02-27 |
| 1588183008 | Mmiddletown Interventional Pain Management, P.C. | Pain Medicine | Middletown Interventional Pain Management, P.C., 400 Route 211 East Suite 12, Middletown, NY 10940-2123 | 2017-09-15 |
| 1861918781 | New York Pain Consultants LLC | Pain Medicine | 115 E 57th St Ste 610, New York, NY 10022-2129 | 2017-08-22 |
| 1689031577 | Eighth Avenue Medical, Pllc | Pain Medicine | 839 57th St Fl 1, Brooklyn, NY 11220-6851 | 2016-01-22 |
| 1437556040 | New York Pain Consultants, LLC | Pain Medicine | 8 Saxon Ave Ste E, Bay Shore, NY 11706-7036 | 2014-11-25 |
| 1801200423 | Ayesha Hameed | Pain Medicine | 1111 Broadhollow Rd Ste 114, Farmingdale, NY 11735 | 2014-06-12 |
| 1285973438 | Irfan A Alladin, Md PC | Pain Medicine | 2901 Bayview Ave, Baldwin, NY 11510-4451 | 2013-02-07 |
| 1336490663 | Bhupinder Singh Bolla Md Pllc | Pain Medicine | 107 Court St, Watertown, NY 13601-2534 | 2012-09-26 |
| Find all providers with the same taxonomy | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.