Organization Active NPI

Trigger Point Medical of Long Island PLLC

  • Pain Medicine Physician
  • Ronkonkoma, NY
National Provider Identifier
1326747965
Registry record updated Mar 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
TRIGGER POINT MEDICAL OF LONG ISLAND PLLC
Practice address
900 Portion Rd Ste 1
Ronkonkoma, NY 11779-1996
Phone
(631) 615-4604
Fax
(631) 315-2166
NPI assigned
Mar 2, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2023

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

Authorized official

Name
Stephen Litvak, MD
Title
Owner
Phone
(516) 851-6087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X Primary

Addresses

Primary practice location

900 Portion Rd Ste 1
Ronkonkoma, NY 11779-1996

Mailing address

900 Portion Rd Ste 1
Ronkonkoma, NY 11779-1996
Phone (631) 506-8907

National Provider Directory

National Provider Directory

Locations

900 Portion Rd
Ste 1
Ronkonkoma, NY 11779
Phone (631) 615-4604

NPI Registry JSON

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

{
    "created_epoch": "1677715200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677715200000",
    "number": "1326747965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PORTION RD STE 1",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117791996",
            "telephone_number": "631-506-8907",
            "fax_number": "631-315-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PORTION RD STE 1",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117791996",
            "telephone_number": "631-615-4604",
            "fax_number": "631-315-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIGGER POINT MEDICAL OF LONG ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-02",
        "last_updated": "2023-03-02",
        "certification_date": "2023-03-02",
        "status": "A",
        "authorized_official_last_name": "LITVAK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-851-6087",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.