NPIMap

Organization Active NPI

Island Musculoskeletal Care, M.D., P.C.

  • Orthopaedic Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1053423517
Registry record updated May 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
ISLAND MUSCULOSKELETAL CARE, M.D., P.C.
Practice address
2569 Ocean Ave
Brooklyn, NY 11229-4513
Phone
(718) 627-3342
Fax
(516) 374-2362
NPI assigned
Aug 31, 2006
Last updated
May 6, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2009

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

Authorized official

Name
Dr. Barry D Jupiter, MDNPI 1295721405
Title
President
Phone
(516) 374-6838

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NY
Orthopaedic Surgery Physician 207X00000X NY Primary
Physical Medicine & Rehabilitation Physician 208100000X NY
Neurology Physician 2084N0400X NY
Diagnostic Radiology Physician 2085R0202X NY
Physical Therapist 225100000X NY

Addresses

Primary practice location

2569 Ocean Ave
Brooklyn, NY 11229-4513

Mailing address

PO Box 360
Hewlett, NY 11557-0360
Phone (516) 374-6838

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040315001128 NY Part B Supplier - Clinic/Group Practice 9537058573 Receives reassigned benefits from 38 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bronx, NY; Patchogue, NY; Richmond Hill, NY; Valley Stream, NY

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241568000000",
    "number": "1053423517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115570360",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2569 OCEAN AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112294513",
            "telephone_number": "718-627-3342",
            "fax_number": "516-374-2362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MUSCULOSKELETAL CARE, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2009-05-06",
        "status": "A",
        "authorized_official_last_name": "JUPITER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-374-6838",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.