OrganizationActive
Integrated Interventional Pain Management PC
NPI 1164918835 · Pain Clinic/Center · Bayside, NY
Provider details
- NPI number
- 1164918835
- Entity type
- Organization
- Primary specialty
- Pain Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Aristide Burducea, President(516) 426-3031
- License
- 243366 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
20712 Northern Blvd Ste 3
Bayside, NY 11361-3108
Phone: (929) 400-2542
Street-level locationGet directions
Mailing address
20712 Northern Blvd Ste 3
Bayside, NY 11361-3108
Registry dates
- Enumerated
- 2018-07-06
- Last updated
- 2020-07-28
- Certified
- 2020-07-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.