Organization Active NPI

Physical Medicine & Rehabilitation of Long Island

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Brightwaters, NY
National Provider Identifier
1003293366
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
PHYSICAL MEDICINE & REHABILITATION OF LONG ISLAND
Practice address
234 Orinoco Dr
Brightwaters, NY 11718-1822
Phone
(631) 300-0797
Fax
(631) 647-8429
NPI assigned
May 6, 2015
Last updated
May 23, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Paulinder Rai, DO, MPHNPI 1568604478
Title
Physician
Phone
(631) 300-0797

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NY Primary

Addresses

Primary practice location

234 Orinoco Dr
Brightwaters, NY 11718-1822

Mailing address

234 Orinoco Dr
Brightwaters, NY 11718-1822
Phone (631) 300-0797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20150709000313 NY Part B Supplier - Clinic/Group Practice 4486966157 Receives reassigned benefits from 17 practitioners
Practice locations: Brightwaters, NY; Patchogue, NY
O20180326002678 NY DME Supplier - Physician - Physical and Rehabilitation 4486966157 Practice locations: Brightwaters, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2194875Physical Medicine & Rehabilitation of Long Island234 Orinoco Drive, Brightwaters, NY 11718Certificate of waiverOct 4, 2026

National Provider Directory

National Provider Directory

Locations

234 Orinoco Dr
Brightwaters, NY 11718
Phone (631) 300-0079

319 E Main St
Patchogue, NY 11772
Phone (631) 300-0797

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 29

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1003293366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 ORINOCO DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181822",
            "telephone_number": "631-300-0797",
            "fax_number": "631-647-8429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 ORINOCO DR",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117181822",
            "telephone_number": "631-300-0797",
            "fax_number": "631-647-8429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHABILITATION OF LONG ISLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "RAI",
        "authorized_official_first_name": "PAULINDER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "631-300-0797",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, MPH"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brightwaters, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.