Organization Active NPI

Long Island Neurosurgical & Pain Specialists, PLLC

Doing business as SpineCare NY

  • Interventional Pain Medicine Physician
  • Bay Shore, NY
National Provider Identifier
1346656105
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
LONG ISLAND NEUROSURGICAL & PAIN SPECIALISTS, PLLC
Doing business as
SpineCare NY
Practice address
340 Howells Rd
Bay Shore, NY 11706-5322
Phone
(833) 547-7463
Fax
(631) 248-5583
NPI assigned
Jul 1, 2014
Last updated
Mar 9, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Dr. Amit Sharma, MDNPI 1568516946
Title
Vice-President
Phone
(833) 547-7463

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X
Neurological Surgery Physician 207T00000X
Pain Medicine Physician 208VP0000X
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

340 Howells Rd
Bay Shore, NY 11706-5322

Mailing address

PO Box 450
Old Westbury, NY 11568-0602
Phone (833) 547-7463

Other practice location 1

66 Commack Rd Ste 104
Commack, NY 11725-3405
Phone (833) 547-7463

Other practice location 2

4681 Veterans Memorial Hwy
Holbrook, NY 11741-4515
Phone (833) 547-7463

Other practice location 3

4250 Hempstead Tpke Ste 4
Bethpage, NY 11714-5707
Phone (833) 547-7463

Other practice location 4

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (833) 547-7463

Other names 1

  • SpineCare NY Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141027000085 NY Part B Supplier - Clinic/Group Practice 4587885033 Receives reassigned benefits from 6 practitioners
1 other NPI on this enrollment
Practice locations: Bethpage, NY; Bay Shore, NY; West Islip, NY; Commack, NY; Holbrook, NY

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Long Island Neurosurgical and Pain Specialist2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

66 Commack Rd
Ste 104
Commack, NY 11725

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1404172800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1346656105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 450",
            "city": "OLD WESTBURY",
            "state": "NY",
            "postal_code": "115680602",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065322",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Commack Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253405",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4681 Veterans Memorial Hwy",
            "address_purpose": "LOCATION",
            "city": "Holbrook",
            "state": "NY",
            "postal_code": "117414515",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4250 Hempstead Tpke Ste 4",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117145707",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Montauk Hwy",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "117954927",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LONG ISLAND NEUROSURGICAL & PAIN SPECIALISTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-01",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "833-547-7463",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SpineCare NY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "SpineCare NY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.