Integrated Musculoskeletal & Spine Group, PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC

Practice address

73 Guy Lombardo Ave
Freeport, NY 11520-3714

Phone

(516) 377-3332

Fax

(516) 377-3844

NPI assigned

Aug 16, 2019

Organization subpart

No

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

Authorized official

Name

Juan Ledon, MDNPI 1093825499

Title

President

Phone

(516) 377-3332

Specialties & licenses 5

Addresses

Other names 1

• The Pain Group Specializing in Pain Mgmt & Rehab Medicine, PLLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 8

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.

• Juan L Ledon, MD

  • Specialist
  • Freeport, NY
  • NPI 1093825499
  Medicare reassignment Care Compare group NPD Authorized official
• Daniel Kapner, DO

  • Physical Medicine & Rehabilitation Physician
  • Freeport, NY
  • NPI 1467870865

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Michael Nicolosi, DO

  • Specialist
  • Freeport, NY
  • NPI 1093944647
  Medicare reassignment Care Compare group NPD
• Tova Plaut, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Freeport, NY
  • NPI 1669969770
  Medicare reassignment Care Compare group NPD
• Gil Anthony Martinez, PA

  • Physician Assistant
  • Farmingdale, NY
  • NPI 1548556673
  Medicare reassignment NPD
• Michelle Abraham, PA-C

  • Physician Assistant
  • Monsey, NY
  • NPI 1386247955
  Medicare reassignment
• Jorge Baez, MD

  • Orthopaedic Surgery Physician
  • Plainview, NY
  • NPI 1578668315
  NPD
• Thomas Antonio Riolo, D.O.

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1518260702
  NPD

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613952000000",
    "number": "1083260806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203714",
            "telephone_number": "516-377-3332",
            "fax_number": "516-377-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203714",
            "telephone_number": "516-377-3332",
            "fax_number": "516-377-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 W Old Country Rd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014036",
            "country_code": "US",
            "telephone_number": "516-934-0380",
            "fax_number": "516-934-0381",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A",
        "authorized_official_last_name": "LEDON",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-377-3332",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Pain Group Specializing in Pain Mgmt & Rehab Medicine, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Specialist in Freeport, NY
• Providers in Freeport, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.