Organization Active NPI

Pure Health Medical PLLC

  • Pain Medicine Physician
  • Merrick, NY
National Provider Identifier
1114773793
Registry record updated May 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
PURE HEALTH MEDICAL PLLC
Practice address
1613 Merrick Rd
Merrick, NY 11566-4540
Phone
(718) 554-1042
NPI assigned
Apr 25, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2024

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

Authorized official

Name
Dr. Leslie Sean Ramsammy, MD
Title
Chief Executive Officer
Phone
(718) 554-1042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

1613 Merrick Rd
Merrick, NY 11566-4540

Mailing address

100 W Bayberry Rd
Islip, NY 11751-4913
Phone (718) 554-1042

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714694400000",
    "number": "1114773793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W BAYBERRY RD",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117514913",
            "telephone_number": "718-554-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1613 MERRICK RD",
            "city": "MERRICK",
            "state": "NY",
            "postal_code": "115664540",
            "telephone_number": "718-554-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEALTH MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-05-03",
        "certification_date": "2024-05-03",
        "status": "A",
        "authorized_official_last_name": "RAMSAMMY",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "SEAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "718-554-1042",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrick, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.