EAST END PAIN CENTER – NPI #1902852247
Anesthesiology

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

EAST END PAIN CENTER is an anesthesiologist located in SOUTHAMPTON, NY. NPPES has assigned the NPI number 1902852247 to EAST END PAIN CENTER on May 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “EAST END PAIN CENTER” is a dba name, the actual legal business name for this organization is EAST END PAIN MANAGEMENT, LLC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207LP2900X from the Health Care Provider Taxonomy code set, which is classified as Anesthesiology, specializing in Pain Medicine

The NPI profile was previously updated about 15 years ago on Feb 16, 2011. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST END PAIN CENTER below.

NPI Profile for
EAST END PAIN MANAGEMENT, LLC

NPI Number
1902852247
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST END PAIN MANAGEMENT, LLC
Doing Business As (dba): EAST END PAIN CENTER
Primary location
365 COUNTY ROAD 39A
SUITE 15 & 16
SOUTHAMPTON, NY 11968
Phone: (631) 702-2300 Fax: (631) 702-2303
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
JUAN GARGIULO
MEDICAL DIRECTOR
Phone: (631) 702-2300
Updated
Identifiers

Identifiers for EAST END PAIN CENTER

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERFEDERAL WORKERS COMP361034200
OTHERRR MEDICAREDA6752
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207LP2900X
- Anesthesiology / Pain Medicine (Primary)
208VP0014X
- Pain Medicine / Interventional Pain Medicine

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.