Organization Active NPI

Pain Medicine Practice of New York PLLC

  • Infusion Therapy Clinic/Center
  • Commack, NY
National Provider Identifier
1659255891
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X
Legal business name
PAIN MEDICINE PRACTICE OF NEW YORK PLLC
Practice address
66 Commack Rd Ste 103
Commack, NY 11725-3405
Phone
(833) 547-7463
NPI assigned
Aug 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Amit Sharma, MD
Title
President
Phone
(833) 547-7463

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infusion Therapy Clinic/Center 261QI0500X Primary

Addresses

Primary practice location

66 Commack Rd Ste 103
Commack, NY 11725-3405

Mailing address

100 Motor Parkway
Suite LL8
Hauppauge, NY 11788
Phone (833) 547-7463

Other names 1

  • Bloom Wellness Medicine Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1659255891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MOTOR PARKWAY",
            "address_2": "SUITE LL8",
            "city": "HAUPPAUGE",
            "state": "NY",
            "postal_code": "11788",
            "telephone_number": "833-547-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "66 COMMACK RD STE 103",
            "city": "COMMACK",
            "state": "NY",
            "postal_code": "117253405",
            "telephone_number": "833-547-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN MEDICINE PRACTICE OF NEW YORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "AMIT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "833-547-7463",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bloom Wellness Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Commack, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.