Horseblock Medical PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

HORSEBLOCK MEDICAL PC

Practice address

400 Horseblock Rd
Farmingville, NY 11738-1252

Phone

(631) 698-1552

Fax

(631) 698-1553

NPI assigned

Jun 30, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Demetrius Moutsiakis, MDNPI 1861717860

Title

Owner

Phone

(631) 698-1552

Specialties & licenses 1

Addresses

Practitioners 1

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

• Demetrius Moutsiakis, M.D., M.P.H.

  • General Practice Physician
  • Farmingville, NY
  • NPI 1861717860
  NPD (past) Authorized official

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1437460805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 HORSEBLOCK RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381252",
            "telephone_number": "631-698-1552",
            "fax_number": "631-698-1553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HORSEBLOCK RD",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117381252",
            "telephone_number": "631-698-1552",
            "fax_number": "631-698-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORSEBLOCK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-30",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "MOUTSIAKIS",
        "authorized_official_first_name": "DEMETRIUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-698-1552",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isiah Hinson
• Jeanine Hintze
• Sharon Hoey, PA
• Joanne Holmes, LCSW
• Nicole Marie Horak, MSED
• Courtney Horst
• Illari Physcial Therapy P.C.
• Inner Health Acupuncture
• Troy Jackson
• Jaimee Graziano, SLP, P.C.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Farmingville, NY
• Providers in Farmingville, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; 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.