Edward J. Pakstis, M.D., P.L.L.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

160126-1 Issued in NY

Legal business name

EDWARD J. PAKSTIS, M.D., P.L.L.C.

Practice address

94 Tarence St
Rockville Centre, NY 11570-2621

Phone

(516) 678-6816

NPI assigned

Nov 9, 2012

Last updated

Apr 12, 2017By 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

Dr. Edward J. Pakstis, M.D.NPI 1134146145

Title

MD

Phone

(516) 678-6816

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 1

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.

• Edward J. Pakstis, M.D.

  • Psychiatry Physician
  • Rockville Centre, NY
  • NPI 1134146145
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1352419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491955200000",
    "number": "1649524851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "94 TARENCE ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702621",
            "telephone_number": "516-678-6816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 TARENCE ST",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115702621",
            "telephone_number": "516-678-6816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD J. PAKSTIS, M.D., P.L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-09",
        "last_updated": "2017-04-12",
        "status": "A",
        "authorized_official_last_name": "PAKSTIS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-678-6816",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "160126-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christie Duval
• Stephanie Dym
• East Rockaway Neuropsychology, PC (East Rockaway Neuropsychology, PC d/b/a Curect Neuropsychology of NY)
• Amanda Christine Eckel
• Israel Simon Eckman, M.D.
• Edward M.Stroh,M.D.,P.C
• Kiona Edwards, MA, LCAT, ATR-BC
• Elana Denise Eisenberg, PA-C
• Rebecca Suzanne Eisenberg
• Barbara J. Elberger, NP

• Psychiatry Physician in Rockville Centre, NY
• Providers in Rockville Centre, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.