EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC – NPI #1568223923
Physical Medicine & Rehabilitation

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.

Health Care Provider Taxonomy Code for Physical Medicine & Rehabilitation

EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC is a provider located in SOUTHOLD, NY. NPPES has assigned the NPI number 1568223923 to EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC on January 22, 2024. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 2081P2900X from the Health Care Provider Taxonomy code set, which is classified as Physical Medicine & Rehabilitation, specializing in Pain Medicine

The NPI profile was last updated on Mar 24, 2026. 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 EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC below.

NPI Profile for
EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC

NPI Number
1568223923
Enumeration Date

(more than 2 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
EASTERN SUFFOLK SPINE AND PAIN MEDICINE, PLLC
Primary location
700 BOISSEAU AVE
SOUTHOLD, NY 11971-2926
Phone: (631) 477-5353 Fax: (631) 477-5891
1 Other location(s):
1111 Montauk Hwy Ste 3-1
West Islip, NY 11795-4910
Phone: (631) 669-1171
Mailing address
3 FRANCES LN
PORT JEFFERSON, NY 11777-1125
Phone: (570) 814-4146 Fax:
Organization Subpart
No
Authorized Official
SAMUEL BROWN
OWNER
Phone: (570) 814-4146
Updated
Certification Date
Mar 24, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
2081P2900X
- Physical Medicine & Rehabilitation / Pain Medicine (Primary)

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.