INTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC
NPI 1083260806
Specialist in Freeport, NY

Active since August 16, 2019CLIA Certified · 2 labs
73 GUY LOMBARDO AVE, FREEPORT, NY 11520(516) 377-3332(516) 377-3844 Get Directions Write a Review

NPPES record last updated: February 22, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 22, 2021, Mar 11, 2020, Aug 31, 2019 and 1 more (4 updates tracked since 2019).

About Integrated Musculoskeletal & Spine Group, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC (NPI 1083260806), doing business as The Pain Group Specializing In Pain Mgmt & Rehab Medicine, Pllc, is a healthcare organization registered as a specialist in Freeport, New York and active in the NPI registry since August 2019. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Hicksville, and lists Juan Ledon, President, as its authorized official.

NPPES Registry Identity

NPI1083260806
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTEGRATED MUSCULOSKELETAL & SPINE GROUP, PLLC
Location Address73 GUY LOMBARDO AVEFreeport, NY 11520-3714
Mailing Address73 Guy Lombardo AveFreeport, NY 11520-3714 · (516) 377-3332 · Fax (516) 377-3844
Fax(516) 377-3844
Organization SubpartNo
Authorized OfficialJuan LedonPresident · (516) 377-3332
Enumeration DateAugust 16, 2019
Last NPPES UpdateFebruary 22, 20214 updates tracked since enumeration
NPPES CertifiedFebruary 22, 2021
NPI 1083260806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical TherapistTaxonomy 225100000X
73 GUY LOMBARDO AVE, Freeport, NY 11520

Other Names 1

Former Legal Business NameThe Pain Group Specializing In Pain Mgmt & Rehab Medicine, Pllc

Secondary Practice Location 1

Location 1111 W Old Country Rd Unit 101Hicksville, NY 11801-4036 · Phone (516) 934-0380 · Fax (516) 934-0381

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D1106328

Integrated Musculoskeletal & Spine Group, PLLC · Hicksville, NY
Active · expires Oct 8, 2027
CLIA Number33D1106328
Laboratory TypePhysician Office
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorDr. Michael Nicolosi
Laboratory Phone(516) 934-0380
Laboratory LocationIntegrated Musculoskeletal & Spine Group, PLLC111 W Old Country Rd, Suite 101, Hicksville, NY 11801
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2051183

Integrated Musculoskeletal & Spine Group PLLC · Freeport, NY
Active · expires Dec 13, 2026
CLIA Number33D2051183
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2024
Certificate Expiration DateDecember 13, 2026
Laboratory DirectorLedon Juan
Laboratory Phone(516) 377-3332
Laboratory LocationIntegrated Musculoskeletal & Spine Group PLLC73 Guy Lombardo Avenue, Freeport, NY 11520
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Anesthesiology
73 GUY LOMBARDO AVE
FREEPORT, NY 11520
Specialist
73 GUY LOMBARDO AVE
FREEPORT, NY 11520
Specialist
73 GUY LOMBARDO AVE
FREEPORT, NY 11520
Nurse Practitioner (Family)
73 GUY LOMBARDO AVE
FREEPORT, NY 11520
Physical Medicine & Rehabilitation
73 GUY LOMBARDO AVE
FREEPORT, NY 11520
Physical Medicine & Rehabilitation (Pain Medicine)
73 GUY LOMBARDO AVE
FREEPORT, NY 11520
Physical Therapist
73 GUY LOMBARDO AVE
FREEPORT, NY 11520
Physical Therapist
73 GUY LOMBARDO AVE
FREEPORT, NY 11520

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Musculoskeletal & Spine Group, PLLC's NPI number?

The NPI number for Integrated Musculoskeletal & Spine Group, PLLC is 1083260806. It was assigned to this organization in the NPPES registry on August 16, 2019. The provider was formerly known as The Pain Group Specializing In Pain Mgmt & Rehab Medicine, PLLC.

Where is Integrated Musculoskeletal & Spine Group, PLLC located?

Integrated Musculoskeletal & Spine Group, PLLC is located at 73 Guy Lombardo Ave, Freeport, NY 11520. The listed phone number is (516) 377-3332.

What is Integrated Musculoskeletal & Spine Group, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Integrated Musculoskeletal & Spine Group, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Integrated Musculoskeletal & Spine Group, PLLC was last updated on February 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.