Organization Active NPI

Sagamore Medical PLLC

  • Interventional Pain Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1164353603
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
SAGAMORE MEDICAL PLLC
Practice address
340 Howells Rd Ste 2B
Bay Shore, NY 11706-5322
Phone
(631) 310-5071
Fax
(631) 248-5583
NPI assigned
May 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Amit Sharma, MDNPI 1568516946
Title
President/Owner
Phone
(917) 400-6184

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X Primary

Addresses

Primary practice location

340 Howells Rd Ste 2B
Bay Shore, NY 11706-5322

Mailing address

100 Motor Parkway
Suite LL8
Hauppauge, NY 11788
Phone (631) 310-5071

Other practice location 1

4250 Hempstead Tpke Suite 4
Bethpage, NY 11714-5711
Phone (631) 310-5071

Other practice location 2

66 Commack Rd Suite 103
Commack, NY 11725-3405
Phone (631) 310-5071

National Provider Directory

National Provider Directory

Locations

4250 Hempstead Tpke
Ste 4
Bethpage, NY 11714
Phone (516) 579-8950

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1164353603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOTOR PARKWAY",
            "address_2": "SUITE LL8",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "631-310-5071",
            "fax_number": "631-248-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD STE 2B",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065322",
            "telephone_number": "631-310-5071",
            "fax_number": "631-248-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4250 Hempstead Tpke Suite 4",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117145711",
            "country_code": "US",
            "telephone_number": "631-310-5071",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "66 Commack Rd Suite 103",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253405",
            "country_code": "US",
            "telephone_number": "631-310-5071",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SAGAMORE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "917-400-6184",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; 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.