Organization Active NPI

Long Island Integrative Medical Wellness PLLC

  • Pain Medicine Physician
  • Merrick, NY
National Provider Identifier
1962040618
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
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

Updated by the provider on Feb 7, 2023

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)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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

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.

Verify at the official NPI Registry.