Island Pain Specialist, PC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

229328 Issued in NY

Legal business name

ISLAND PAIN SPECIALIST, PC

Practice address

340 Broadhollow Rd
Farmingdale, NY 11735-4807

Phone

(516) 336-8659

Fax

(516) 584-0055

NPI assigned

Mar 21, 2008

Last updated

Apr 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hasib Mikael Sarij, MDNPI 1992888184

Title

Owner

Phone

(516) 336-8659

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hasib Mikael Sarij, MD

  • Interventional Pain Medicine Physician
  • Farmingdale, NY
  • NPI 1992888184
  Authorized official Same address or phone

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

{
    "created_epoch": "1206057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1972774529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROADHOLLOW RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "11735",
            "telephone_number": "516-336-8659",
            "fax_number": "516-584-0055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROADHOLLOW RD",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354807",
            "telephone_number": "516-336-8659",
            "fax_number": "516-584-0055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PAIN SPECIALIST, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-21",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "SARIJ",
        "authorized_official_first_name": "HASIB",
        "authorized_official_middle_name": "MIKAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-336-8659",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "229328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Incorporated Village of Farmingdale
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• Integrated Medical Interventional Diagnostics PC
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• Marly Israel
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• Sudamie Jacobs
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• Janet Lockie D.C. Linda Nowachek DC

• Interventional Pain Medicine Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.