PAIN THERAPY SPECIALISTS PLLC (NPI# 1962798348) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962798348 |
| Entity Type | Organization |
| Organization Name | PAIN THERAPY SPECIALISTS PLLC |
| Practice Address |
100 Port Washington Blvd Roslyn NY 11576-1347 |
| Mailing Address |
100 Port Washington Blvd New York Cardiovascular Anesthesiologists, P.C. Roslyn NY 11576-1347 |
| Practice Telephone | 5166276624 |
| Practice Fax Number | 5166273804 |
| Mailing Telephone | 5166276624 |
| Mailing Fax Number | 5166273804 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2013-05-15 |
| Authorized Official Name | MICHAEL I. COHEN (CEO) |
| Authorized Official Telephone | 5166276624 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians |
| Street Address |
100 PORT WASHINGTON BLVD |
| City | ROSLYN |
| State | NY |
| Zip Code | 11576-1347 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598768624 | Jack Soterakis | Internal Medicine | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2005-05-23 |
| 1700499779 | Olivia Paige Omage | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-08-28 |
| 1871101006 | Mark Granados | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-07-14 |
| 1871110692 | Nicole Amanda Waxner | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-06-27 |
| 1710509062 | Allison L Chan | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-05-09 |
| 1730715269 | Sreeja Nair | Nurse Practitioner | 100 Port Washington Blvd, Roslyn, NY 11576-1353 | 2020-03-16 |
| 1871127027 | Laura Grace Krukowski | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576 | 2020-02-26 |
| 1518591015 | Punam Patel | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-02-24 |
| 1306486196 | Brendan Heitz | Physician Assistant | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2020-01-09 |
| 1740829613 | Johanna Eve Schwartz | Social Worker | 100 Port Washington Blvd, Roslyn, NY 11576-1347 | 2019-12-24 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265075998 | Haley W Feit | Optometrist | 1085 Northern Blvd, Roslyn, NY 11576 | 2019-10-25 |
| 1346765187 | Fern Wendi Schanback | Counselor | 24 Mackay Way, Roslyn, NY 11576 | 2017-08-12 |
| 1932577574 | Soma Fit Physical Therapy Pllc | Physical Therapist | 55 Lumber Rd, Suite 105, Roslyn, NY 11576 | 2015-09-14 |
| 1679953699 | Linda D.r. Miller | Speech-Language Pathologist | 7 Woodland Road, Roslyn, NY 11576 | 2015-06-04 |
| 1629463450 | Angela Maria Taveras | Social Worker | 141 Old Northern Blvd, Rosalyn, NY 11576 | 2015-03-30 |
| 1043594922 | Robin Hananel | Speech-Language Pathologist | 29 The Oaks, Roslyn, NY 11576 | 2011-10-10 |
| 1073838207 | Lucille A Barker | Occupational Therapist | 1441old Northern Blvd, Roslyn, NY 11576 | 2010-03-31 |
| 1518100163 | Robert Eugene Goldberger | Surgery | 4 The Birches, Roslyn, NY 11576 | 2009-04-13 |
| 1336388461 | Sarah Lamattina | Counselor | 1441 Old Northern Boulevard, Roslyn, NY 11576 | 2009-02-12 |
| 1508001553 | Leslie Jane Brownstein | Speech-Language Pathologist | 174 Mimosa Drive, Roslyn, N.y 11576, New York City, NY 11576 | 2008-12-04 |
| Find all providers in zip 11576 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629695812 | Islandia Medical Pllc | Pain Medicine | 1726 Veterans Memorial Hwy, Islandia, NY 11749-1512 | 2020-07-03 |
| 1689205940 | Caliber Medical, PC | Pain Medicine | 635 Madison Ave Fl 14, New York, NY 10022-1009 | 2020-01-27 |
| 1437792413 | Kings Highway Physicians Group Pllc | Pain Medicine | 144 E 98th St, Brooklyn, NY 11212-3841 | 2019-10-23 |
| 1114411675 | Health Quest Medical Practice, PC | Pain Medicine | 644 Stoneleigh Ave Ste 103, Carmel, NY 10512-2451 | 2018-06-19 |
| 1265934913 | Derrick Trent | Pain Medicine | 626 Riverside Dr Apt 21c, New York, NY 10031-7230 | 2018-03-08 |
| 1023523198 | Randa Jaafar Md,pc | Pain Medicine | 340 East 49th St., Ground Floor, New York, NY 10017 | 2017-12-11 |
| 1689123929 | Integrative Pain & Wellness Associates, LLC | Pain Medicine | 1360 North Forest Road, Suite 115, Williamsville, NY 14221-1200 | 2016-09-28 |
| 1972978153 | Shankar Uma Ganti | Pain Medicine | 20 Willow Ln, Irvington, NY 10533-1110 | 2015-12-14 |
| 1487029815 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 6430 Transit Rd, Suite 300, Depew, NY 14043-1033 | 2015-12-10 |
| 1770958100 | New York Anesthesiology Medical Specialties, PC | Pain Medicine | 5100 W Taft Rd Ste 1b, Liverpool, NY 13088-3808 | 2015-12-10 |
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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.