Long Island Physician Affiliates, PLLC

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

Legal business name

LONG ISLAND PHYSICIAN AFFILIATES, PLLC

Practice address

635 Belle Terre Rd Ste 209
Port Jefferson, NY 11777-1935

Phone

(631) 503-1400

NPI assigned

Dec 6, 2017

Organization subpart

Yes

Parent organization

LONG ISLAND PHYSICIAN ASSOCIATES, PLLCAs reported in NPPES

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

Authorized official

Name

John Von Lintig

Title

Chief Operating Officer

Phone

(631) 503-1400

Specialties & licenses 1

Addresses

Part of

Long Island Physician Associates PLLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Long Island Physician Associates, PLLC

  • Surgery Physician
  • Port Jefferson, NY
  • NPI 1871906941
  NPPES parent name

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615939200000",
    "number": "1134634645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 ROUTE 25A STE 225",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788802",
            "telephone_number": "631-503-1400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 BELLE TERRE RD STE 209",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771935",
            "telephone_number": "631-503-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PHYSICIAN AFFILIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LONG ISLAND PHYSICIAN ASSOCIATES, PLLC",
        "enumeration_date": "2017-12-06",
        "last_updated": "2021-03-17",
        "certification_date": "2021-03-17",
        "status": "A",
        "authorized_official_last_name": "VON LINTIG",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "631-503-1400"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Long Island Bone and Joint
• Long Island Comfort Shoes and Pedorthic Services
• Long Island Eye Physicians & Surgeons,PC
• Long Island Laparoscopic Surgery,P.L.L.C.
• Long Island Pediatric Ophthalmology & Strabismus, P.C.
• Long Island Physician Associates, PLLC
• Joyce Longo
• Mark Lowenheim, M.D.
• Jenny Lu
• Wendy Deyoung Luca, SLP

• Pain Medicine (Anesthesiology) Physician in Port Jefferson, NY
• Providers in Port Jefferson, 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 Mar 17, 2021; 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.