Active NPI
All Island Medical Associates PC
- Family Medicine Physician
- Bohemia, NY
National Provider Identifier
1053508994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 194215-1
- 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, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sareth Pinnamaneni, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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 DirectoryLocations
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.
-
- Family Medicine Physician
- Bohemia, NY
- NPI 1598881526
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.