Organization Active NPI

Pain Management of Long Island, P.C,

  • Pain Medicine (Anesthesiology) Physician
  • Medford, NY
National Provider Identifier
1033267570
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
192949 Issued in NY
Legal business name
PAIN MANAGEMENT OF LONG ISLAND, P.C,
Practice address
1731 N Ocean Ave
Medford, NY 11763-2670
Phone
(631) 474-2300
Fax
(631) 474-2355
NPI assigned
Jan 8, 2007
Last updated
Sep 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Ms. Deborah Golpariani
Title
Office Manager
Phone
(516) 603-7426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207LP2900X 192949 NY Primary

Addresses

Primary practice location

1731 N Ocean Ave
Medford, NY 11763-2670

Mailing address

PO Box 231233
Great Neck, NY 11023-0233
Phone (631) 474-2300

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20120125000597 NY Part B Supplier - Clinic/Group Practice 8729977418 Receives reassigned benefits from 2 practitioners
Practice locations: Medford, NY; Port Jefferson, NY
O20140714001314 NY DME Supplier - Physician - Interventional Pain Management 8729977418 Practice locations: Medford, 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
33D2020226Pain Management of Long Island1731 North Ocean Ave - Ste a, Medford, NY 11763Certificate of waiverDec 2, 2026

National Provider Directory

National Provider Directory

Locations

233 E Shore Rd
Ste 108
Great Neck, NY 11023
Phone (516) 603-7426

1731 N Ocean Ave
Ste A
Medford, NY 11763
Phone (631) 474-2300

59 Nesconset Hwy
Port Jefferson Station, NY 11776
Phone (516) 218-1336

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1033267570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 231233",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110230233",
            "telephone_number": "631-474-2300",
            "fax_number": "631-474-2355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1731 N OCEAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632670",
            "telephone_number": "631-474-2300",
            "fax_number": "631-474-2355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MANAGEMENT OF LONG ISLAND, P.C,",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "GOLPARIANI",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-603-7426",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "192949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; 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.