SOUTH COAST PHYSICAL MEDICINE PC (NPI# 1881961944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881961944 |
| Entity Type | Organization |
| Organization Name | SOUTH COAST PHYSICAL MEDICINE PC |
| Practice Address |
1799 Brentwood Rd Brentwood NY 11717-4611 |
| Mailing Address |
1 Edgewood Ave Suite 100 Smithtown NY 11787-2742 |
| Practice Telephone | 6319798508 |
| Practice Fax Number | 6319790998 |
| Mailing Telephone | 6319798508 |
| Mailing Fax Number | 6319790998 |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2011-11-18 |
| Authorized Official Name | MIGUEL VARGAS (PRESIDENT) |
| Authorized Official Telephone | 6319798508 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2081P2900X |
Physical Medicine & Rehabilitation Specialization: Pain Medicine |
213808-1 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
1799 BRENTWOOD RD |
| City | BRENTWOOD |
| State | NY |
| Zip Code | 11717-4611 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528123171 | Tri-v Medical, PC | Internal Medicine | 1799 Brentwood Rd, Brentwood, NY 11717-4611 | 2006-12-26 |
| 1205460102 | Strong Island Acupuncture and Chiropractic Associates Pllc | Acupuncturist | 1799 Brentwood Rd, Brentwood, NY 11717-4611 | 2020-02-28 |
| 1659923902 | Akashkumar Dineshbhai Patel | Physical Therapy Assistant | 1799 Brentwood Rd, Brentwood, NY 11717-4611 | 2019-07-16 |
| 1902164031 | Central Island Chiropractic, P.C. | Clinic/Center | 1799 Brentwood Rd, Brentwood, NY 11717-4611 | 2012-04-26 |
| 1003134255 | Donald L Liss | Chiropractor | 1799 Brentwood Rd, Brentwood, NY 11717-4611 | 2010-05-12 |
| 1275797045 | Brent City Chiropractic LLP | Chiropractor | 1799 Brentwood Rd, Brentwood, NY 11717-4611 | 2008-07-11 |
| 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 | 2081P2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Specialization | Pain Medicine |
| A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed] Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. A subspecialty certificate was approved by the ABMS in 1999. ACGME Accredited Residency Program Requirements: Proposal under development. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598790552 | Crossroads Ambulatory Procedural Center | Physical Medicine & Rehabilitation | 1805 Williamson Ct, 200, Brentwood, TN 37027-7974 | 2006-07-11 |
| 1770516080 | Pain Medicine & Rehabilitation | Physical Medicine & Rehabilitation | 1805 Williamson Ct, Brentwood, TN 37027-8164 | 2006-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384535 | Mohammad Aalai Medical Pllc | Physical Medicine & Rehabilitation | 17 Richlee Ct Apt 1s, Mineola, NY 11501-3638 | 2020-10-22 |
| 1659923357 | Action Rehab Medicine Pllc | Physical Medicine & Rehabilitation | 88 Hamilton Dr, Roslyn, NY 11576-3129 | 2019-07-12 |
| 1447813878 | Parkway Medical Services | Physical Medicine & Rehabilitation | Parkway Medical Services PC, 77 Pondfield Road 2f4, Bronxville, NY 10708 | 2019-04-22 |
| 1932667870 | Smart Care Medical P C | Physical Medicine & Rehabilitation | 353 93rd St, Brooklyn, NY 11209-6901 | 2019-03-11 |
| 1215454905 | Medical Alliance of New Jersey PC | Physical Medicine & Rehabilitation | 4806 11th Ave, Brooklyn, NY 11219-2931 | 2017-08-24 |
| 1215382445 | Westchester Pain Management | Physical Medicine & Rehabilitation | 83 S Bedford Rd Ste 100, Mount Kisco, NY 10549-3459 | 2016-04-25 |
| 1730584947 | 1st Step To Health Medical PC | Physical Medicine & Rehabilitation | 4310-12 Church Avenue, Brooklyn, NY 11203 | 2014-10-30 |
| 1629494570 | Brian Pekkerman | Physical Medicine & Rehabilitation | 2 Ohio Dr Ste 102, New Hyde Park, NY 11042-1111 | 2014-03-14 |
| 1649604661 | V-medical PC | Physical Medicine & Rehabilitation | 1069 Hempstead Tpke, Suite 4, Franklin Sq, NY 11010-2631 | 2013-08-27 |
| 1760825210 | Stephen Erosa | Physical Medicine & Rehabilitation | 1088 North Broadway, Yonkers, NY 10701 | 2013-04-15 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SOUTH COAST PHYSICAL MEDICINE PC.
| 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.