Interventional & Multi-Disciplinary Pain Management

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

INTERVENTIONAL & MULTI-DISCIPLINARY PAIN MANAGEMENT

Practice address

2500 Nesconset Hwy
BLDG 24C
Stony Brook, NY 11790-2555

Phone

(631) 444-0910

Fax

(631) 689-3814

NPI assigned

May 8, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Laurine Ann Ermish, RN

Title

Office Manager

Phone

(631) 941-0187

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538372297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1523",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117900907",
            "telephone_number": "631-444-0910",
            "fax_number": "631-689-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 NESCONSET HWY",
            "address_2": "BLDG 24C",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117902555",
            "telephone_number": "631-444-0910",
            "fax_number": "631-689-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL & MULTI-DISCIPLINARY PAIN MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ERMISH",
        "authorized_official_first_name": "LAURINE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "631-941-0187",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "096933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deborah Elaine Indelicato, OTR/L
• Susan Ingram
• Nicholas Charles Ingui, M.S. CCC-SLP, TSSLD
• Sara E Inserra, OTR/L
• Instacare Medical Supplies LLC
• Christos Ioannou, DDS
• Baleigh Marie Iott, PA
• Ira Chernoff,MD Pci
• Mercy Iribarren, MD
• Dondre Irving, DO

• Specialist in Stony Brook, NY
• Providers in Stony Brook, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.