SUN MOUNTAIN MEDICAL PLLC NPI 1265237085

NPI Information

  • NPI: 1265237085
  • Provider Name: SUN MOUNTAIN MEDICAL PLLC
  • Classification: Physical Medicine & Rehabilitation - 2081P2900X
  • Specialization: Pain Medicine
  • Entity Type: Organization
  • Address: 4140 JUNCTION BLVD
    CORONA, NY
    ZIP 11368
  • Phone: (917) 400-3941

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NPI Details

SUN MOUNTAIN MEDICAL PLLC is a pain medicine physical medicine rehabilitation in Corona, NY. The provider is 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. SUN MOUNTAIN MEDICAL PLLC NPI is 1265237085. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4140 JUNCTION BLVD
CORONA, NY
ZIP 11368-584
Phone: (917) 400-3941
Fax: (718) 447-7831

The provider's authorized official is Shailesh S Pathare .
The authorized official title is President and has the following contact phone number (917) 400-3941.

The enumeration date for this NPI number is 2/17/2025 and was last updated on 2/17/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & RehabilitationNo
22081P2900XPhysical Medicine & RehabilitationPain MedicineYes
32083A0300XPreventive MedicineAddiction MedicineNo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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