Individual provider Active NPI

Tova Plaut, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Freeport, NY
National Provider Identifier
1669969770
Registry record updated Apr 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
314469 Issued in NY
Practice address
73 Guy Lombardo Ave
Freeport, NY 11520-3714
Phone
(516) 377-3332
Fax
(516) 377-3844
NPI assigned
Apr 16, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 314469 NY Primary

Addresses

Primary practice location

73 Guy Lombardo Ave
Freeport, NY 11520-3714

Mailing address

73 Guy Lombardo Ave
Freeport, NY 11520-3714
Phone (888) 362-5593

Other practice location 1

4035 95th St
Elmhurst, NY 11373-6206
Phone (888) 362-5593

Other practice location 2

1124 Foam Pl
Far Rockaway, NY 11691-4005
Phone (888) 362-5593

Other practice location 3

111 W Old Country Rd Unit 101
Hicksville, NY 11801-4036
Phone (516) 934-0380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710001053 NY Practitioner - Physical Medicine and Rehabilitation 0446598239 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Integrated Musculoskeletal and Spine Group PLLCGroup PAC ID 5395173405, 4 clinicians

Practice addresses (Care Compare)

111 W Old Country Rd
Unit 101
Hicksville, NY 11801-4036
Phone (516) 934-0380

Hospital & facility affiliations

  • Mercy Medical Center Hospital, Rockville Centre, NY, CCN 330259

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Musculoskeletal & Spine Group, PLLC Pain Medicine CurrentSince Aug 11, 2023 Accepting new patients
Pain and Rehabilitation Medical Specialists, PC Pain Medicine CurrentSince Aug 11, 2023 Accepting new patients

Locations

4035 95th St
Ste 1
Elmhurst, NY 11373
Phone (516) 377-3332

1124 Foam Pl
Far Rockaway, NY 11691
Phone 5163773332181

73 Guy Lombardo Ave
Freeport, NY 11520
Phone (516) 377-3332

111 W Old Country Rd
Unit 101
Hicksville, NY 11801
Phone (516) 934-0380

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1669969770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203714",
            "telephone_number": "888-362-5593",
            "fax_number": "516-377-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 GUY LOMBARDO AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203714",
            "telephone_number": "516-377-3332",
            "fax_number": "516-377-3844"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4035 95th St",
            "address_purpose": "LOCATION",
            "city": "Elmhurst",
            "state": "NY",
            "postal_code": "113736206",
            "country_code": "US",
            "telephone_number": "888-362-5593",
            "fax_number": "516-377-3844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1124 Foam Pl",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116914005",
            "country_code": "US",
            "telephone_number": "888-362-5593",
            "fax_number": "516-377-3844",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 W Old Country Rd Unit 101",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014036",
            "country_code": "US",
            "telephone_number": "516-934-0380",
            "fax_number": "516-377-3844",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PLAUT",
        "first_name": "TOVA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-16",
        "last_updated": "2024-04-19",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "314469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.