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ISLAND MEDICAL SPECIALISTS P.L.L.C. NPI 1407844160


NPI Information

NPI: 1407844160
Provider Name: ISLAND MEDICAL SPECIALISTS, P.L.L.C.
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 33D2260910

Address:
2627 HYLAN BLVD STE C
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 351-1136
Get Directions

ISLAND MEDICAL SPECIALISTS, P.L.L.C. is an internal medicine in Staten Island, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. ISLAND MEDICAL SPECIALISTS, P.L.L.C. NPI is 1407844160. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2627 HYLAN BLVD STE C
STATEN ISLAND, NY
ZIP 10306-344
Phone: (718) 351-1136
Fax: (718) 667-9711

The provider's authorized official is Lori Guterman .
The authorized official title is Credentialing Coordinator and has the following contact phone number (718) 876-6220.

The CLIA number assigned to this NPI record is 33D2260910 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/7/2005 and was last updated on 12/21/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular DiseaseNEW YORKNo
2207R00000XInternal MedicineNEW YORKYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
102679945MEDICAIDNEW YORK

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: 4/28/2024

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