Active NPI
Nasr Spine & Pain Management P.C.
- General Acute Care Hospital
- Port Jefferson Station, NY
National Provider Identifier
1487987632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- Legal business name
- NASR SPINE & PAIN MANAGEMENT P.C.
- Practice address
- 36 Huron St
Port Jefferson Station, NY 11776-4313 - Phone
- (917) 309-2642
- NPI assigned
- Sep 4, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Hany Nasr, M.D
- Title
- President
- Phone
- (917) 309-2642
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Primary | ||
| Rehabilitation Hospital | 283X00000X | |||
| Pediatric Skilled Nursing Facility | 3140N1450X |
Addresses
Primary practice location
36 Huron St
Port Jefferson Station, NY 11776-4313
Mailing address
36 Huron St
Port Jefferson Station, NY 11776-4313
Phone (917) 309-2642
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252022400000",
"number": "1487987632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36 HURON ST",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117764313",
"telephone_number": "917-309-2642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36 HURON ST",
"city": "PORT JEFFERSON STATION",
"state": "NY",
"postal_code": "117764313",
"telephone_number": "917-309-2642"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NASR SPINE & PAIN MANAGEMENT P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2009-09-04",
"last_updated": "2009-09-04",
"status": "A",
"authorized_official_last_name": "NASR",
"authorized_official_first_name": "HANY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "917-309-2642",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "282N00000X",
"taxonomy_group": "",
"desc": "General Acute Care Hospital",
"state": null,
"license": null,
"primary": true
},
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": null,
"license": null,
"primary": false
},
{
"code": "3140N1450X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Port Jefferson Station, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.