State Street Medical PLLC

Primary specialty

Pain Medicine PhysicianTaxonomy code 208VP0000X

Legal business name

STATE STREET MEDICAL PLLC

Practice address

555 N Country Rd
Saint James, NY 11780-1444

Phone

(631) 862-1737

NPI assigned

Feb 2, 2022

Organization subpart

No

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

Authorized official

Name

Stephen Litvak

Title

Owner

Phone

(516) 851-6087

Specialties & licenses 1

Addresses

Other names 1

• Medical Trigger Point Doing business as

Locations

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

{
    "created_epoch": "1643760000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670457600000",
    "number": "1972256691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 S OCEAN AVE",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117723702",
            "telephone_number": "516-851-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 N COUNTRY RD",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801444",
            "telephone_number": "631-862-1737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE STREET MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-02",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A",
        "authorized_official_last_name": "LITVAK",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-851-6087"
    },
    "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": "Medical Trigger Point",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Medical Trigger Point",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St. James Plaza Nursing Facility, LLC
• Georgina Stampelos, DMD
• Gus Stampelos, DMD
• Kevin Stancil
• Katherine Stanton, FNP-C
• Ramona Anna Stills-Johnson, LCSW
• Stoneview Pathology Medical Service PLLC
• Lindsay Anne Struss
• Alessandra Marie Stubbs, LAC
• Robert A. Swierupski, M.D.

• Pain Medicine Physician in Saint James, NY
• Providers in Saint James, NY by specialty
• Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2022; 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.