South Coast Physical Medicine PC

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

213808-1 Issued in NY

Legal business name

SOUTH COAST PHYSICAL MEDICINE PC

Practice address

1799 Brentwood Rd
Brentwood, NY 11717-4611

Phone

(631) 979-8508

Fax

(631) 979-0998

NPI assigned

Nov 17, 2011

Organization subpart

No

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

Authorized official

Name

Miguel Vargas, MD

Title

President

Phone

(631) 979-8508

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1881961944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDGEWOOD AVE",
            "address_2": "SUITE 100",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117872742",
            "telephone_number": "631-979-8508",
            "fax_number": "631-979-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117174611",
            "telephone_number": "631-979-8508",
            "fax_number": "631-979-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH COAST PHYSICAL MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-17",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "VARGAS",
        "authorized_official_first_name": "MIGUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-979-8508",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NY",
            "license": "213808-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Francis Sommer, RPAC
• Hanna Song, D.D.S.
• Sonoma Medical P.C.
• Jessica Sorrells
• Claudia Sosa
• South Shore Chiropractic and Physical Therapy
• Robert Scott Southard, D.C.
• Emilia Souza
• Denise L Spagnuolo, MA, CCC-SLP/TSHH
• John Joseph Spano, D.C.

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.