NPIMap

Organization Active NPI

New York Pain Consultants LLC

  • Interventional Pain Medicine Physician
  • Babylon, NY
National Provider Identifier
1639190630
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
NEW YORK PAIN CONSULTANTS LLC
Practice address
500 W Main St
Suite 116
Babylon, NY 11702-3027
Phone
(631) 422-6166
Fax
(631) 422-6469
NPI assigned
Jul 22, 2006
Last updated
Sep 16, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Authorized official

Name
Nicole Finkle
Title
RCM Sr. Director
Phone
(719) 243-9490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

500 W Main St
Suite 116
Babylon, NY 11702-3027

Mailing address

4960 SW 72ND Ave Ste 405
Miami, FL 33155-5506
Phone (469) 458-9222

Other identifiers 1

IdentifierTypeStateIssuer
6726880001OtherDME SUPPLIER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040726000061 NY Part B Supplier - Clinic/Group Practice 0749260107 Receives reassigned benefits from 27 practitioners
Practice locations: Babylon, NY; Westbury, NY; West Islip, NY; New York, NY; Harrison, NY; Bay Shore, NY
O20130326000035 NY DME Supplier - Physician - General Practice 0749260107 Practice locations: Babylon, NY
O20180425002719 MD Part B Supplier - Independent Clinical Laboratory 0749260107 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Columbia, MD

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2044582New York Pain Consultants LLC500 W Main St - Suite 116, Babylon, NY 11702Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

100 W Main St
Ste C
Babylon, NY 11702
Phone (631) 206-1034

8 Saxon Ave
Bay Shore, NY 11706
Phone (631) 206-2989

8 Saxon Ave
Ste A
Bay Shore, NY 11706
Phone (631) 206-1034

10 Union Sq E
Ste 4K
New York, NY 10003
Phone (212) 844-8930

Practitioners & affiliated clinicians

Practitioners 27

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.

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757980800000",
    "number": "1639190630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4960 SW 72ND AVE STE 405",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331555506",
            "telephone_number": "469-458-9222",
            "fax_number": "540-918-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W MAIN ST",
            "address_2": "SUITE 116",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023027",
            "telephone_number": "631-422-6166",
            "fax_number": "631-422-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW YORK PAIN CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A",
        "authorized_official_last_name": "FINKLE",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "RCM SR. DIRECTOR",
        "authorized_official_telephone_number": "719-243-9490"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME SUPPLIER NUMBER",
            "identifier": "6726880001",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.