Organization Active NPI

Cove Medical. PC

  • Interventional Pain Medicine Physician
  • Glen Cove, NY
National Provider Identifier
1679825855
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
60214497 Issued in NY
Legal business name
COVE MEDICAL. PC
Practice address
3 Brewster St
Unit 1 Ste C
Glen Cove, NY 11542-2510
Phone
(516) 671-2010
NPI assigned
Oct 11, 2012
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Sheila Soman, MD
Title
President
Phone
(516) 671-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0014X 60214497 NY Primary

Addresses

Primary practice location

3 Brewster St
Unit 1 Ste C
Glen Cove, NY 11542-2510

Mailing address

3 Brewster St
Unit 1 Ste C
Glen Cove, NY 11542-2510
Phone (516) 671-2010

National Provider Directory

National Provider Directory

Locations

3 Brewster St
Unit 1
Glen Cove, NY 11542
Phone (516) 671-2010

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1679825855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BREWSTER ST",
            "address_2": "UNIT 1 STE C",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422510",
            "telephone_number": "516-671-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BREWSTER ST",
            "address_2": "UNIT 1 STE C",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422510",
            "telephone_number": "516-671-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COVE MEDICAL. PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "SOMAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-671-2010",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "60214497",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.