Long Island Medical Interventional Services PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

LONG ISLAND MEDICAL INTERVENTIONAL SERVICES PLLC

Practice address

4273 Hempstead Tpke
Bethpage, NY 11714-5710

Phone

(516) 605-0600

Fax

(516) 321-0713

NPI assigned

Aug 4, 2021

Organization subpart

No

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

Authorized official

Name

Trusha Narendra Shah, MDNPI 1699099036

Title

Ceo

Phone

(516) 605-0600

Specialties & licenses 2

Addresses

Practitioners 2

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

• Trusha Narendra Shah, M.D.

  • Interventional Pain Medicine Physician
  • Lake Success, NY
  • NPI 1699099036

  Anesthesiology

  NPD Authorized official
• Judith Raghubir, NP

  • Family Nurse Practitioner
  • New Hyde Park, NY
  • NPI 1518601301
  NPD (past)

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701734400000",
    "number": "1215601158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 676",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117910676",
            "telephone_number": "516-605-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4273 HEMPSTEAD TPKE",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145710",
            "telephone_number": "516-605-0600",
            "fax_number": "516-321-0713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND MEDICAL INTERVENTIONAL SERVICES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2023-12-05",
        "certification_date": "2023-12-05",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "TRUSHA",
        "authorized_official_middle_name": "NARENDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-605-0600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deanna Lino
• Diane Linzer, D.O.
• Ana Gabriella Loew, LMHC, CASAC
• Long Island Allergy & Asthma Care, PLLC
• Long Island Kidney Associates, PC
• Long Island Primary Medical Care
• Long Island, Queens Hearing Asso Inc
• Meredith Long, M.D.
• Victoria Lynn Lopipero, REGISTERED NURSE
• Catherine Ann Lora

• Anesthesiology Physician in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; 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.