Montauk Medical Associates PLLC

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

MONTAUK MEDICAL ASSOCIATES PLLC

Practice address

1000 Montauk Hwy
West Islip, NY 11795-4927

Phone

(833) 547-7463

Fax

(631) 248-5583

NPI assigned

Aug 2, 2021

Last updated

Mar 9, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Reginald Rousseau, MDNPI 1306822523

Title

Member

Phone

(833) 547-7463

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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.

• Reginald Rousseau, MD

  • Pain Medicine (Anesthesiology) Physician
  • Bay Shore, NY
  • NPI 1306822523
  Authorized official Same address or phone
• Michael Allen Hershey, MD

  • Interventional Pain Medicine Physician
  • Bay Shore, NY
  • NPI 1578821757
  NPD
• Roxana Teodora Sacarin, MD

  • Anesthesiology Physician
  • West Islip, NY
  • NPI 1164407227
  NPD
• Amit Sharma, M.D.

  • Interventional Pain Medicine Physician
  • Bay Shore, NY
  • NPI 1568516946
  NPD
• Jaspreet Singh Toor, D.O.

  • Pain Medicine (Anesthesiology) Physician
  • Bay Shore, NY
  • NPI 1437562949
  NPD

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

{
    "created_epoch": "1627862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1619641990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117950459",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MONTAUK HWY",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954927",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66 Commack Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Commack",
            "state": "NY",
            "postal_code": "117253405",
            "country_code": "US",
            "telephone_number": "833-547-7463",
            "fax_number": "631-248-5583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MONTAUK MEDICAL ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-02",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "ROUSSEAU",
        "authorized_official_first_name": "REGINALD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "833-547-7463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ojirese Oluwaminiyi Momoh, DO
• Lucy Moncada, P.T.
• Emily Mongan, NP
• Joseph G Monge, MD
• David Montalbano, PA
• Montefiore Medical Center
• Melissa Montgomery, RN
• Richard Robert Moore, MD
• Ariana Morck
• Danielle Morea, MD

• Anesthesiology Physician in West Islip, NY
• Providers in West Islip, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2023; 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.