Active NPI
Long Island Integrative Medical Wellness PLLC
- Pain Medicine Physician
- Merrick, NY
National Provider Identifier
1962040618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- Legal business name
- LONG ISLAND INTEGRATIVE MEDICAL WELLNESS PLLC
- Practice address
- 1611 Merrick Rd
Merrick, NY 11566-4540 - Phone
- (516) 548-7061
- Fax
- (516) 548-7445
- NPI assigned
- Dec 12, 2019
- 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
- Sean Ramsammy
- Title
- Administrative Manager
- Phone
- (516) 548-7061
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine Physician | 208VP0000X | Primary |
Addresses
Primary practice location
1611 Merrick Rd
Merrick, NY 11566-4540
Mailing address
1611 Merrick Rd
Merrick, NY 11566-4540
Phone (516) 548-7061
Other names 1
- Long Island Integrative Health PLLC
National Provider Directory
National Provider DirectoryLocations
1611 Merrick Rd
Merrick, NY 11566
Phone (516) 548-7061
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Freeport, NY
- NPI 1275795049
-
- Geriatric Medicine (Family Medicine) Physician
- Manhasset, NY
- NPI 1760268031
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1576108800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1675728000000",
"number": "1962040618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 MERRICK RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664540",
"telephone_number": "516-548-7061",
"fax_number": "516-548-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1611 MERRICK RD",
"city": "MERRICK",
"state": "NY",
"postal_code": "115664540",
"telephone_number": "516-548-7061",
"fax_number": "516-548-7445"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND INTEGRATIVE MEDICAL WELLNESS PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-12-12",
"last_updated": "2023-02-07",
"certification_date": "2023-02-07",
"status": "A",
"authorized_official_last_name": "RAMSAMMY",
"authorized_official_first_name": "SEAN",
"authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
"authorized_official_telephone_number": "516-548-7061"
},
"taxonomies": [
{
"code": "208VP0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pain Medicine, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Long Island Integrative Health PLLC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Merrick, NY
- Nancy Sue Lofaso, MS,CCC-SLP
- Daniel Logvin, PSYD
- Long Island Cosmetic and Family Dentistry P.C.
- Long Island Gastroenterology Group P C
- Long Island Infant Developmental Program, Inc.
- Long Island Medical Oncology & Hematology Associates P C
- Lori M. Landrio OD PLLC
- Lorraine Gonzalez LCSW PLLC
- Erica Louis-Jean
- Bryan Christopher Lovejoy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.