MOSHE B MIRILASHVILI (NPI# 1427081223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427081223 |
| Entity Type | Individual |
| Full Name | MOSHE B MIRILASHVILI |
| Credential | M.D. |
| Practice Address |
600 Pine Hollow Rd Apartment # 2-2b East Norwich NY 11732-1042 |
| Practice Telephone | 5164294539 |
| Mailing Telephone | 5164294539 |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2011-03-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
8M8596857 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01010993 | 05 |
| Street Address |
600 PINE HOLLOW RD APARTMENT # 2-2B |
| City | EAST NORWICH |
| State | NY |
| Zip Code | 11732-1042 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407260524 | Natalie Carbuccia Carbuccia | Speech-Language Pathologist | 600 Pine Hollow Rd, 6-6b, East Norwich, NY 11732-1042 | 2014-06-17 |
| 1851664403 | Denise K Mcgarry-faulkner | Licensed Practical Nurse | 600 Pine Hollow Rd, 2-6a, East Norwich, NY 11732-1042 | 2012-02-13 |
| 1598910259 | Hyesung Im | Dentist | 600 Pine Hollow Rd, 4-1a, East Norwich, NY 11732-1042 | 2008-11-22 |
| 1982789673 | Unprecedented Pt Inc. | Physical Therapist | 600 Pine Hollow Rd, Apt 7-1a, East Norwich, NY 11732-1042 | 2006-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340707 | Jennifer Reilly | Licensed Practical Nurse | 62 Sugar Toms Lane, East Norwich, NY 11732 | 2019-11-15 |
| 1205134632 | Jodi Michele Kennedy | Social Worker | 37-22 82nd St., Corona Elmhurst Guidance Center, Jackson Heights, NY 11732 | 2011-03-09 |
| 1740599505 | Adel George Ayyad | Specialist | 8763 83rd Street, Jackson Heights, NY 11732 | 2010-09-28 |
| 1508069733 | Scott Louis Cavagnuolo | Chiropractor | 914 Oyster Bay Rd, East Norwich, NY 11732 | 2007-06-06 |
| 1013120526 | Stacy Bloom | Social Worker | 600-11-4b Pine Hollow Road, East Norwich, NY 11732 | 2007-05-08 |
| 1730309410 | Neil Richard Engel | Dentist | One Hawthorne Road, East Norwich, NY 11732 | 2007-04-26 |
| 1487706990 | Christine C Hunter | Social Worker | 72 Roosevelt Drive, East Norwich, NY 11732 | 2007-01-17 |
| 1659389583 | Sally Antman Gleicher | Psychologist | 1035 Route 106, East Norwich, NY 11732 | 2006-08-04 |
| 1962423723 | Michael Steven Klein | Podiatrist | 898 Oyster Bay Road, Ste D, East Norwich, NY 11732 | 2006-07-21 |
| 1487890026 | Maria Xydas | Psychologist | 1035 Route 106, East Norwich, NY 11732 | 2009-01-04 |
| Find all providers in zip 11732 | ||||
| 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 |
|---|---|---|---|---|
| 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 | EAST NORWICH |
| Zip Code | 11732 |
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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.