Eastern Suffolk Spine and Pain Medicine, PLLC
NPI 1568223923ActiveOrganization· Physical Medicine & Rehabilitation, Pain Medicine· Southold, NY
Physical Medicine & Rehabilitation, Pain Medicine in Southold, New York, registered in NPPES in January 2024. The authorized official on file is Samuel Pearce Brown, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1568223923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2024 |
| Last updated in NPPES | Mar 24, 2026 |
| Certified by provider | Mar 24, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Medicine & Rehabilitation, Pain Medicine Primary | 2081P2900X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NY) |
|---|
Other Physical Medicine & Rehabilitation, Pain Medicine providers in Southold
- 1275848970
All Physical Medicine & Rehabilitation, Pain Medicine providers in New York →