Theraputic Medical Infusion PC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

198877 Issued in NY

Legal business name

THERAPUTIC MEDICAL INFUSION PC

Practice address

475 E Main St
Suite 114
Patchogue, NY 11772-3121

Phone

(631) 475-7700

Fax

(631) 307-9911

NPI assigned

Apr 28, 2016

Last updated

Apr 28, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Scott Mayerberger, MDNPI 1073614145

Title

Owner

Phone

(631) 475-7700

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Scott A. Mayerberger, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Shirley, NY
  • NPI 1073614145
  Authorized official Same address or phone

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1063867976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 114",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-475-7700",
            "fax_number": "631-307-9911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 E MAIN ST",
            "address_2": "SUITE 114",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723121",
            "telephone_number": "631-475-7700",
            "fax_number": "631-307-9911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPUTIC MEDICAL INFUSION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "MAYERBERGER",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-475-7700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "198877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frank Wohlsein Telang, M.D.
• Debra Tesoriero, NP
• Prinscilla Tetteh
• Ranel Thaker
• The Therapy Center for Children, LLC
• Thomas J Mango MD PC
• Kim Cyril Thomas, FNP
• Christopher Tinti, PT, DPT
• Ashley Monet Titus
• Frieda Toback, MA CCC A

• Pain Medicine (Anesthesiology) Physician in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Pain Medicine (Anesthesiology) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.