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Nassau-Suffolk Medical Services, P.C.

Anesthesiology, Pain Medicine in West Islip, NY. Organization (NPI-2).

NPI number1972914596
StatusActive
Last updated in NPPESDec 22, 2021

Details

NPI
1972914596
Entity type
Organization (NPI-2)
Legal business name
Nassau-Suffolk Medical Services, P.C.
Organization subpart
No
Enumeration date
May 16, 2014
Certification date
Dec 22, 2021
Last updated
Dec 22, 2021

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207LP2900X Anesthesiology, Pain Medicine265787NYYes
207L00000X Anesthesiology261853NY
207L00000X Anesthesiology265787NY
207LP2900X Anesthesiology, Pain Medicine261853NY
207T00000X Neurological Surgery190377NY

Practice location

1175 Montauk Hwy
Suite 6
West Islip, NY 11795-4939

Phone 833-547-7463 · Fax 631-647-3070

Mailing address

1175 Montauk Hwy
Suite 6
West Islip, NY 11795-4939

Phone 833-547-7463 · Fax 631-644-7030

Authorized official

Kevin Mullins
Owner
8337746333

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Pain Medicine (Anesthesiology) Physician providers in West Islip, NY

All 8 Pain Medicine (Anesthesiology) Physician providers in West Islip · All 1,338 providers in West Islip

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