Active NPI
Osteo Relief of Long Island PC
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Smithtown, NY
National Provider Identifier
1225325194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Legal business name
- OSTEO RELIEF OF LONG ISLAND PC
- Practice address
- 363 Route 111
Suite 107
Smithtown, NY 11787-4756 - Phone
- (631) 656-5544
- NPI assigned
- Jun 29, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kenneth E Rich, MD
- Title
- Owner/Provider
- Phone
- (631) 656-5544
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | Primary |
Addresses
Primary practice location
363 Route 111
Suite 107
Smithtown, NY 11787-4756
Mailing address
363 Route 111
Suite 107
Smithtown, NY 11787-4756
Phone (631) 656-5544
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1309305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1309305600000",
"number": "1225325194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "363 ROUTE 111",
"address_2": "SUITE 107",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874756",
"telephone_number": "631-656-5544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "363 ROUTE 111",
"address_2": "SUITE 107",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117874756",
"telephone_number": "631-656-5544"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSTEO RELIEF OF LONG ISLAND PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-06-29",
"last_updated": "2011-06-29",
"status": "A",
"authorized_official_last_name": "RICH",
"authorized_official_first_name": "KENNETH",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER/PROVIDER",
"authorized_official_telephone_number": "631-656-5544",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2081P2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.