Carole Agin, M.D.

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

174472 Issued in NY

Practice address

3 Delaware Drive
Lake Success, NY 11042-3495

Phone

(516) 622-6105

NPI assigned

Jun 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Optum Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Jericho, NY
  • NPI 1285975797
  NPD (past)
• Phillip Fyman and Alexander Weingarten MD PC

  • Interventional Pain Medicine Physician
  • Jericho, NY
  • NPI 1386747947
  NPD (past)
• Phillip Fyman and Alexander Weingarten MD PC

  • Clinical Medical Laboratory
  • Syosset, NY
  • NPI 1457841967
  NPD (past)

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

{
    "created_epoch": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327968000000",
    "number": "1285670125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 MARCUS AVENUE",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "11042",
            "telephone_number": "516-622-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 DELAWARE DRIVE",
            "city": "LAKE SUCCESS",
            "state": "NY",
            "postal_code": "110423495",
            "telephone_number": "516-622-6105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGIN",
        "first_name": "CAROLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2012-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "174472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4214595",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC.BS",
            "identifier": "8L0091",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01607469",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• 7 Day Home Care LTD
• Kevin Abraham, PHARMD
• Advanced Plastic Surgery of Northshore, P.C.
• Agewell Diagnostics, Inc.
• Agewell Physical Therapy and Wellness, P.C.
• Nita Agnish, PHARM D
• Milena Alicandro, OTR/L
• Steven Allen
• Allergy and Asthma Care of Nassau and Suffolk, PLLC
• Meredith Grace Allgood, PSY.D.

• Pain Medicine (Anesthesiology) Physician in Lake Success, NY
• Providers in Lake Success, 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 Jan 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.