Active NPI
New York Pain Medical Practice PLLC
- Durable Medical Equipment & Medical Supplies
- Commack, NY
National Provider Identifier
1821780834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- NEW YORK PAIN MEDICAL PRACTICE PLLC
- Practice address
- 66 Commack Rd Ste 103
Commack, NY 11725-3405 - Phone
- (833) 547-7463
- Fax
- (631) 248-5583
- NPI assigned
- May 26, 2023
- 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
- Amit Sharma, MD
- Title
- President
- Phone
- (833) 547-7463
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
66 Commack Rd Ste 103
Commack, NY 11725-3405
Mailing address
100 Motor Pkwy Ste LL8
Hauppauge, NY 11788-5165
Phone (833) 547-7463
Other practice location 1
340 Howells Rd Ste B
Bay Shore, NY 11706-5322
Phone (833) 547-7463
Other names 1
- Orient Point Medical Supplies
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250501000518 | NY | DME Supplier - Medical Supply Company With Orthotic-Prosthetic | 1052834512 | Practice locations: Commack, NY |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Bay Shore, NY
- NPI 1710670518
1052834512
National Provider Directory
National Provider Directory- Tax ID family
- New York Pain Medical Practice PLLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Durable Medical Equipment & Medical Supplies
- Commack, NY
- NPI 1356030035
-
- Durable Medical Equipment & Medical Supplies
- Bay Shore, NY
- NPI 1710670518
Locations
340 Howells Rd
Ste B
Bay Shore, NY 11706
Phone (631) 666-1956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685059200000",
"number": "1821780834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MOTOR PKWY STE LL8",
"city": "HAUPPAUGE",
"state": "NY",
"postal_code": "117885165",
"telephone_number": "833-547-7463",
"fax_number": "631-248-5583"
},
{
"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",
"fax_number": "631-248-5583"
}
],
"practiceLocations": [
{
"address_1": "340 Howells Rd Ste B",
"address_purpose": "LOCATION",
"city": "Bay Shore",
"state": "NY",
"postal_code": "117065322",
"country_code": "US",
"telephone_number": "833-547-7463",
"fax_number": "631-248-5583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "NEW YORK PAIN MEDICAL PRACTICE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-05-26",
"last_updated": "2023-05-26",
"certification_date": "2023-05-17",
"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": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Orient Point Medical Supplies",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Commack, NY
- New York Dermatology & Mohs Surgery Group, PLLC
- New York Dialysis Services, Inc.
- New York Dietetics and Nutrition PLLC
- New York Family Dentistry East PLLC
- New York Pain Medical Practice PLLC
- New York Physical and Occupational Therapy, PLLC
- New York University
- Laura Rachel Newfield, P.T.
- Caren L. Newman, PSY.D.
- Janet Nguyen-Rosales, AGNP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.