NPIMap

Organization Active NPI

Island Medical Pain Management Services PC

  • Pain Medicine (Anesthesiology) Physician
  • Rockville Centre, NY
National Provider Identifier
1295764140
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
ISLAND MEDICAL PAIN MANAGEMENT SERVICES PC
Practice address
77 N Centre Ave
Suite 202
Rockville Centre, NY 11570-3923
Phone
(516) 764-7246
Fax
(516) 678-3525
NPI assigned
Jul 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Dr. Neil Kirschen, MDNPI 1720062326
Title
Principal
Phone
(516) 764-7246

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X

Addresses

Primary practice location

77 N Centre Ave
Suite 202
Rockville Centre, NY 11570-3923

Mailing address

265 Sunrise Highway
Unit #1 PMB 348
Rockville Centre, NY 11570-4912
Phone (888) 877-3850

Other identifiers 2

IdentifierTypeStateIssuer
AZ00799AOtherNYMDNY
CA7429OtherRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

77 N Centre Ave
Ste 202
Rockville Ctr, NY 11570
Phone (516) 764-7246

265 Sunrise Hwy
Ste 1
Rockville Ctr, NY 11570

Practitioners & affiliated clinicians

Practitioners 30

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

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1151798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1295764140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "265 SUNRISE HIGHWAY",
            "address_2": "UNIT #1 PMB 348",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115704912",
            "telephone_number": "888-877-3850",
            "fax_number": "631-329-6951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 N CENTRE AVE",
            "address_2": "SUITE 202",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703923",
            "telephone_number": "516-764-7246",
            "fax_number": "516-678-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL PAIN MANAGEMENT SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-02",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "KIRSCHEN",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "PRINCIPAL",
        "authorized_official_telephone_number": "516-764-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AZ00799A",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CA7429",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; 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.