Minimally Invasive Center of New York LLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

MINIMALLY INVASIVE CENTER OF NEW YORK LLC

Practice address

66 Commack Rd Ste 103
Commack, NY 11725-3405

Phone

(833) 547-7463

Fax

(631) 248-5583

NPI assigned

Mar 6, 2023

Last updated

Jun 21, 2024By 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

Dr. Amit Sharma, MDNPI 1568516946

Title

Medical Director

Phone

(917) 400-6184

Specialties & licenses 3

Addresses

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.

• Amit Sharma, M.D.

  • Interventional Pain Medicine Physician
  • Bay Shore, NY
  • NPI 1568516946
  Authorized official Same address or phone

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

{
    "created_epoch": "1678060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1174223515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOTOR PKWY STE LL8",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "117885165",
            "telephone_number": "833-547-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COMMACK RD STE 103",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253405",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE CENTER OF NEW YORK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-06-21",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-400-6184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Irene Milonas, PSY.D.
• Daniele Miltner, MS, OTR/L
• Mindful Mental Health Counseling Wellness PLLC
• Mindful Therapy LCSW, PLLC
• Roxanne Minerva
• Randee Ann Minzer, MS, CCC-SLP
• Gina Marie Mitchell, M.S.
• Danielle Mitnick
• Jolanta Mogielnicka, RN
• Momentum Nutrition Ny PLLC

• Pain Medicine Physician in Commack, NY
• Providers in Commack, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.