Centro Care Medical, PC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

License

214497-1 Issued in NY

Legal business name

CENTRO CARE MEDICAL, PC

Practice address

500 Ocean Ave
East Rockaway, NY 11518-1238

Phone

(516) 881-7570

Fax

(516) 399-2227

NPI assigned

Jan 14, 2013

Last updated

Jan 14, 2013By 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. Sheila Soman, M.D.

Title

President

Phone

(516) 881-7570

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1358121600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358121600000",
    "number": "1710224563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 OCEAN AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181238",
            "telephone_number": "516-881-7570",
            "fax_number": "516-399-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 OCEAN AVE",
            "city": "EAST ROCKAWAY",
            "state": "NY",
            "postal_code": "115181238",
            "telephone_number": "516-881-7570",
            "fax_number": "516-399-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO CARE MEDICAL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-14",
        "last_updated": "2013-01-14",
        "status": "A",
        "authorized_official_last_name": "SOMAN",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-881-7570",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "214497-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pain Medicine Physician in East Rockaway, NY
• Providers in East Rockaway, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2013; 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.