EAST END PAIN MANAGEMENT LLC NPI 1902852247

NPI Information

NPI: 1902852247
Provider Name: EAST END PAIN MANAGEMENT, LLC
Classification: Anesthesiology - 207LP2900X
Specialization: Pain Medicine
Entity Type: Organization
Doing Business As: EAST END PAIN CENTER
CLIA Number: 33D2028133
Address: 365 COUNTY ROAD 39A
SUITE 15 & 16
SOUTHAMPTON, NY
ZIP 11968
Phone: (631) 702-2300

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NPI Details

EAST END PAIN MANAGEMENT, LLC is a pain medicine anesthesiology in Southampton, NY. The provider is 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 MANAGEMENT, LLC NPI is 1902852247. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As East End Pain Center.

The provider's business location address is:

365 COUNTY ROAD 39A
SUITE 15 & 16
SOUTHAMPTON, NY
ZIP 11968
Phone: (631) 702-2300
Fax: (631) 702-2303

The provider's authorized official is Juan J. Gargiulo .
The authorized official title is Medical Director and has the following contact phone number (631) 702-2300.

The CLIA number assigned to this NPI record is 33D2028133 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 2/16/2011.

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
1	208VP0014X	Pain Medicine	Interventional Pain Medicine			No
2	207LP2900X	Anesthesiology	Pain Medicine			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	361034200	OTHER		FEDERAL WORKERS COMP
2	WEK251	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
3	DA6752	OTHER		RR MEDICARE

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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