EMPIRE STATE PAIN & NEURO ,P.C. (NPI# 1558634477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558634477 |
| Entity Type | Organization |
| Organization Name | EMPIRE STATE PAIN & NEURO ,P.C. |
| Practice Address |
659 Suffolk Ave Brentwood NY 11717-4413 |
| Practice Telephone | 6316541120 |
| Practice Fax Number | 6316541681 |
| Mailing Telephone | 6316541120 |
| Mailing Fax Number | 6316541681 |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-03-20 |
| Authorized Official Name | DR. SAMUEL MICHAEL THEAGENE (PRESIDENT) |
| Authorized Official Telephone | 6316541120 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | 914218 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
659 SUFFOLK AVE |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316165228 | Danilo Jeremy Cuellar | Acupuncturist | 659 Suffolk Ave, Brentwood, NY 11717-4413 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265998827 | Lauretta Elaine Murdock | Behavioral Analyst | C/o The Mosaic Foundation for Autism, Inc., 1725 Brentwood Rd., Brentwood, NY 11717 | 2019-02-19 |
| 1811467467 | Benjamin D. Thompkins Jr. | Social Worker | 164 3rd Avenue, Brentwood, NY 11717 | 2018-11-27 |
| 1114496262 | Timothy Eisemann | Registered Nurse | 52 Third Ave, Brentwood, NY 11717 | 2018-11-19 |
| 1245710490 | Lauren Linker | Occupational Therapist | Brentwood Union Free School District, 52 Third Avenue, Brentwood, NY 11717 | 2018-08-17 |
| 1558849786 | Anila Thomas | Registered Nurse | Pilgrims Psychiatric Center, 998 Crooked Hill Road, Brentwood, NY 11717 | 2018-07-31 |
| 1306330857 | Rhina Aguila | Licensed Practical Nurse | 162 Studley St, Brentwood, NY 11717 | 2018-06-19 |
| 1659863595 | Steven Edward Szydziak | Registered Nurse | Pilgrim State Psychiatric Center, 998crooked Hil Rd, Brentwood, NY 11717 | 2018-06-06 |
| 1881103570 | Shatevia Simpson Hickson | Behavioral Analyst | 56 Swallow Ln, Brentwood, NY 11717 | 2017-09-25 |
| 1306375753 | Shavona Layne | Behavioral Analyst | 8 Strum Streeet, Brentwood, NY 11717 | 2017-06-08 |
| 1669921334 | David Ramirez | Licensed Practical Nurse | 27 Bruce Lane, Brentwood, NY 11717 | 2016-09-23 |
| Find all providers in zip 11717 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952921041 | Tn Integrative Healthcare Plc | Physical Medicine & Rehabilitation | 5055 Maryland Way Ste 100, Brentwood, TN 37027-7665 | 2020-04-20 |
| 1316026321 | Pedro A. Suarez, Md | Physical Medicine & Rehabilitation | 5 Wicks Rd, Suite 1b, Brentwood, NY 11717-3508 | 2006-11-02 |
| 1932217171 | Jonathan Leeds Costa | Physical Medicine & Rehabilitation | 3 Torrey Pines Way, Brentwood, TN 37027-8945 | 2006-08-28 |
| 1285600452 | Jonathan D Stone | Physical Medicine & Rehabilitation | 1805 Williamson Ct, Brentwood, TN 37027 | 2006-02-27 |
| 1558362517 | Pedro A Suarez | Physical Medicine & Rehabilitation | 5 Wicks Rd Ste 1b, Brentwood, NY 11717-3515 | 2005-08-02 |
| 1629683750 | M3medical Inc. | Physical Medicine & Rehabilitation | 9000a Church St E, Brentwood, TN 37027-5255 | 2020-09-15 |
| 1487184834 | Stephanie Crawford | Physical Medicine & Rehabilitation | 1605 Westgate Cir Ste 100, Brentwood, TN 37027-8396 | 2017-06-19 |
| 1932594702 | Wesley Alexander Davis Peace | Physical Medicine & Rehabilitation | 1805 Williamson Ct, Brentwood, TN 37027 | 2015-03-30 |
| 1902247471 | Be Well, Pllc | Physical Medicine & Rehabilitation | 5115 Maryland Way, Brentwood, TN 37027-1200 | 2013-07-12 |
| 1699930602 | Rebecca Trangco-evans | Physical Medicine & Rehabilitation | 1805 Williamson Ct, Brentwood, TN 37027 | 2008-07-20 |
| Find all providers in BRENTWOOD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.