Organization Active NPI

All Island Medical Associates PC

  • Family Medicine Physician
  • Bohemia, NY
National Provider Identifier
1053508994
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
194215-1 Issued in NY
Legal business name
ALL ISLAND MEDICAL ASSOCIATES PC
Practice address
1099 Smithtown Ave
Bohemia, NY 11716-2127
Phone
(631) 589-7787
Fax
(631) 589-3908
NPI assigned
Sep 25, 2007
Last updated
Sep 22, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

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

Authorized official

Name
Dr. Sareth Pinnamaneni, M.D.NPI 1598881526
Title
Proprietor
Phone
(631) 589-7787

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 194215-1 NY Primary

Addresses

Primary practice location

1099 Smithtown Ave
Bohemia, NY 11716-2127

Mailing address

PO Box 447
Bohemia, NY 11716-0447
Phone (631) 589-7787

National Provider Directory

National Provider Directory

Locations

1099 Smithtown Ave
Bohemia, NY 11716
Phone (631) 589-7787

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": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506038400000",
    "number": "1053508994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 447",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117160447",
            "telephone_number": "631-589-7787",
            "fax_number": "631-589-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1099 SMITHTOWN AVE",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162127",
            "telephone_number": "631-589-7787",
            "fax_number": "631-589-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALL ISLAND MEDICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2017-09-22",
        "status": "A",
        "authorized_official_last_name": "PINNAMANENI",
        "authorized_official_first_name": "SARETH",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "631-589-7787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "194215-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bohemia, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2017; 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.