Organization Active NPI

Island Medical and Psychiatric PC

  • Psychiatry Physician
  • Deer Park, NY
National Provider Identifier
1063352607
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
ISLAND MEDICAL AND PSYCHIATRIC PC
Practice address
2080 Deer Park Ave
Deer Park, NY 11729-2102
Phone
(631) 889-0386
NPI assigned
Apr 1, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Authorized official

Name
Syed Ibrahim, MDNPI 1447346127
Title
Ceo
Phone
(631) 889-0386

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

2080 Deer Park Ave
Deer Park, NY 11729-2102

Mailing address

2080 Deer Park Ave
Deer Park, NY 11729-2102
Phone (631) 889-0386

Other practice location 1

183 Broadway
Hicksville, NY 11801-4247
Phone (631) 889-0386

Other names 1

  • Seena Psychiatry Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260515001300 NY Part B Supplier - Clinic/Group Practice 7618139551 Receives reassigned benefits from 3 practitioners
Practice locations: Hicksville, NY; Deer Park, NY

National Provider Directory

National Provider Directory
Tax ID family
Island Medical and Psychiatric PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2080 Deer Park Ave
Deer Park, NY 11729
Phone (631) 889-0386

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775001600000",
    "number": "1063352607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2080 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292102",
            "telephone_number": "631-889-0386"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2080 DEER PARK AVE",
            "city": "DEER PARK",
            "state": "NY",
            "postal_code": "117292102",
            "telephone_number": "631-889-0386"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "183 Broadway",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014247",
            "country_code": "US",
            "telephone_number": "631-889-0386",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND MEDICAL AND PSYCHIATRIC PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A",
        "authorized_official_last_name": "IBRAHIM",
        "authorized_official_first_name": "SYED",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-889-0386",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Seena Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Deer Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2026; 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.