NPIMap

Organization Active NPI

N. S. So Island Diag GRP

  • Clinical Medical Laboratory
  • Rockaway Beach, NY
National Provider Identifier
1043492374
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
33D0875629 Issued in NY
Legal business name
N. S. SO ISLAND DIAG GRP
Practice address
9009 Rockaway BCH Blvd
Rockaway Beach, NY 11693-1531
Phone
(718) 474-9631
NPI assigned
Nov 28, 2007
Organization subpart
Yes
Parent organization
SOUTH ISLAND MEDICAL ASSOCIATES P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 29, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Norma L Buhrts
Title
VP
Phone
(239) 210-0132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 33D0875629 NY Primary

Addresses

Primary practice location

9009 Rockaway BCH Blvd
Rockaway Beach, NY 11693-1531

Mailing address

PO Box 549
Cedarhurst, NY 11516-0549
Phone (718) 471-5400

Other identifiers 3

IdentifierTypeStateIssuer
G560950OtherNYOXFORD
000142305OtherNYAMERICHOICE
113493693OtherNYAFFINITY

National Provider Directory

National Provider Directory
Part of
South Island Medical As

Practitioners & affiliated clinicians

Practitioners 56

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 56

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1196208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1043492374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 549",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115160549",
            "telephone_number": "718-471-5400",
            "fax_number": "718-382-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 ROCKAWAY BCH BLVD",
            "city": "ROCKAWAY BEACH",
            "state": "NY",
            "postal_code": "116931531",
            "telephone_number": "718-474-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "N. S. SO ISLAND DIAG GRP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTH ISLAND MEDICAL ASSOCIATES P.C.",
        "enumeration_date": "2007-11-28",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "BUHRTS",
        "authorized_official_first_name": "NORMA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP",
        "authorized_official_telephone_number": "239-210-0132",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NY",
            "license": "33D0875629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "G560950",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "000142305",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AFFINITY",
            "identifier": "113493693",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.