REGINALD M ROUSSEAU MD PC
NPI 1568047967
Pain Medicine - Interventional Pain Medicine in Bay Shore, NY

Q: What is Reginald M Rousseau MD PC's NPI number?

The NPI number for Reginald M Rousseau MD PC is 1568047967. It was assigned to this organization in the NPPES registry on March 17, 2021.

Q: What is Reginald M Rousseau MD PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Active since March 17, 2021

340 HOWELLS RD, BAY SHORE, NY 11706(833) 547-7463(631) 247-5583 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2023, Feb 13, 2023, Oct 16, 2022 and 3 more (6 updates tracked since 2021).

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About Reginald M Rousseau Md Pc NPPES

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

REGINALD M ROUSSEAU MD PC (NPI 1568047967) is a healthcare organization registered as an interventional pain medicine in Bay Shore, New York and active in the NPI registry since March 2021. The organization maintains 3 additional practice locations and lists Reginald M Rousseau, Owner, as its authorized official.

NPPES Registry Identity

NPI1568047967

Entity TypeOrganization

Primary Taxonomy208VP0014X

Legal Business NameREGINALD M ROUSSEAU MD PC

Location Address340 HOWELLS RDBay Shore, NY 11706-5322

Mailing Address100 Motor Parkway, Suite Ll8Hauppauge, NY 11788 · (833) 547-7463 · Fax (631) 248-5583

Phone(833) 547-7463

Fax(631) 247-5583

Organization SubpartNo

Authorized OfficialReginald M RousseauOwner · (833) 547-7463

Enumeration DateMarch 17, 2021

Last NPPES UpdateMarch 9, 20236 updates tracked since enumeration

NPPES CertifiedMarch 9, 2023

✔ NPI 1568047967 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code208VP0014X

Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X

340 HOWELLS RD, Bay Shore, NY 11706

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Secondary Practice Locations 3

Location 1100 E Main St Ste 2BHuntington, NY 11743-2847 · Phone (833) 547-7463 · Fax (631) 248-5583

Location 24681 Veterans Memorial HwyHolbrook, NY 11741-4515 · Phone (833) 547-7463 · Fax (631) 248-5583

Location 31000 Montauk HwyWest Islip, NY 11795-4927 · Phone (833) 547-7463 · Fax (631) 248-5583

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Reginald M Rousseau Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Reginald M Rousseau MD PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Reginald Rousseau, MD

Interventional Pain Management

NPI 1306822523

340 HOWELLS RD
Bay Shore, NY 11706

(833) 547-7463

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Reginald M Rousseau MD PC's NPI number?

The NPI number for Reginald M Rousseau MD PC is 1568047967. It was assigned to this organization in the NPPES registry on March 17, 2021.

Where is Reginald M Rousseau MD PC located?

Reginald M Rousseau MD PC is located at 340 Howells Rd, Bay Shore, NY 11706. The listed phone number is (833) 547-7463.

What is Reginald M Rousseau MD PC's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Reginald M Rousseau MD PC enrolled in Medicare?

Yes. Reginald M Rousseau MD PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Reginald M Rousseau MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Interventional Pain Management) reassigns their Medicare billing to Reginald M Rousseau MD PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Reginald M Rousseau MD PC was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.