Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

New York Ispine Specialist Medical PC

Organization Pain Medicine Physician · NPI 1144604539

New York Ispine Specialist Medical PC provides Pain Medicine Physician services in Great Neck, New York. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

600 Northern Blvd
Great Neck, NY 11021-5206 Not confirmed with CMS for 11 years — call before visiting
Phone: (516) 441-5739
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pain Medicine Physician (primary) Taxonomy 208VP0000X

Record details

NPI number1144604539
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Madan Raj — Md · (516) 441-5739
NPI enumeratedJuly 15, 2015
Last updated in NPPESSeptember 9, 2015
Mailing address11 Holiday Pond Rd, Jericho, NY 11753-1154