Organization Active NPI

Long Island Pain Care PLLC

  • Pain Medicine Physician
  • Levittown, NY
National Provider Identifier
1417271156
Registry record updated Mar 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A1865711 Issued in NY
Legal business name
LONG ISLAND PAIN CARE PLLC
Practice address
3601 Hempstead Tpke
Suite 206
Levittown, NY 11756-1375
Phone
(516) 735-7246
Fax
(516) 735-7248
NPI assigned
Mar 24, 2010
Last updated
Mar 24, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2010

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

Authorized official

Name
Dr. Nolan David Tzou, M.DNPI 1699751057
Title
Owner
Phone
(516) 735-7246

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A1865711 NY Primary

Addresses

Primary practice location

3601 Hempstead Tpke
Suite 206
Levittown, NY 11756-1375

Mailing address

3601 Hempstead Tpke
Suite 206
Levittown, NY 11756-1375
Phone (516) 735-7246

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101004000946 NY Part B Supplier - Clinic/Group Practice 3779775176 Receives reassigned benefits from 1 practitioner
Practice locations: Levittown, NY

National Provider Directory

National Provider Directory

Locations

3601 Hempstead Tpke
Ste 206
Levittown, NY 11756
Phone (516) 735-7246

Practitioners & affiliated clinicians

Practitioners 1

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": "1269388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269388800000",
    "number": "1417271156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE",
            "address_2": "SUITE 206",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561375",
            "telephone_number": "516-735-7246",
            "fax_number": "516-735-7248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE",
            "address_2": "SUITE 206",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561375",
            "telephone_number": "516-735-7246",
            "fax_number": "516-735-7248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND PAIN CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-24",
        "last_updated": "2010-03-24",
        "status": "A",
        "authorized_official_last_name": "TZOU",
        "authorized_official_first_name": "NOLAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-735-7246",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "A1865711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2010; 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.