Active NPI
Southeast Pain Management LLC
- Psychiatry Physician
- Miami Beach, FL
National Provider Identifier
1780511964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- SOUTHEAST PAIN MANAGEMENT LLC
- Practice address
- 407 Lincoln Rd Ste 6H-1479
Miami Beach, FL 33139-3020 - Phone
- (718) 931-9700
- NPI assigned
- May 4, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Samuel Kohn
- Title
- Member
- Phone
- (718) 931-9700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
407 Lincoln Rd Ste 6H-1479
Miami Beach, FL 33139-3020
Mailing address
4770 White Plains Rd
Bronx, NY 10470-1136
National Provider Directory
National Provider DirectoryLocations
407 Lincoln Rd
Ste 6H1479
Miami Beach, FL 33139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778630400000",
"number": "1780511964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4770 WHITE PLAINS RD",
"city": "BRONX",
"state": "NY",
"postal_code": "104701136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 LINCOLN RD STE 6H-1479",
"city": "MIAMI BEACH",
"state": "FL",
"postal_code": "331393020",
"telephone_number": "718-931-9700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHEAST PAIN MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-04",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A",
"authorized_official_last_name": "KOHN",
"authorized_official_first_name": "SAMUEL",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "718-931-9700"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami Beach, FL
- South Florida Surgical Specialists, LLC
- South Florida Vision Services, Inc.
- South Miami GYN Oncology Physicians LLC
- South Miami Hospital, Inc
- South Miami Hospital, Inc
- Southeastern Orthopaedic Surgeons, PLLC
- Southern Health and Wellness, Inc
- Flavio Ballerini Souza-Campos
- Jeffrey Amos Spardy, MD
- Speech Time, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.