Organization Active NPI

Nasr Spine & Pain Management P.C.

  • General Acute Care Hospital
  • Port Jefferson Station, NY
National Provider Identifier
1487987632
Registry record updated Sep 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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

Updated by the provider on Sep 4, 2009

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.