Island Pathology Diagnostics

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

ISLAND PATHOLOGY DIAGNOSTICS

Practice address

77A Powerhouse Rd
Roslyn Heights, NY 11577-2027

Phone

(917) 376-5739

NPI assigned

Sep 19, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Shah Mohammad Giashuddin, MDNPI 1538370929

Title

Medical Director

Phone

(917) 376-5739

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Shah Mohammad Giashuddin, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Brooklyn, NY
  • NPI 1538370929
  NPD (past) Authorized official

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

{
    "created_epoch": "1663545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663545600000",
    "number": "1073236782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77A POWERHOUSE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772027",
            "telephone_number": "917-376-5739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77A POWERHOUSE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772027",
            "telephone_number": "917-376-5739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND PATHOLOGY DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-19",
        "last_updated": "2022-09-19",
        "certification_date": "2022-09-19",
        "status": "A",
        "authorized_official_last_name": "GIASHUDDIN",
        "authorized_official_first_name": "SHAH",
        "authorized_official_middle_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "917-376-5739",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "LIS",
            "affiliation": "N",
            "endpointDescription": "Laboratory Information System",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "77A Powerhouse Rd",
            "city": "Roslyn Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115772027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Internal Medicine Associates of East Hills,LLP
• Marisa Ip, M.D.
• David Isaacs, DDS
• Shamsul X Islam
• Island Medical Laser, P.C.
• Island Sleep Medicine Specialists PC
• Anna Izsak, OTR L
• Ja Medical Care PLLC
• Eric S Jacob, D.D.S.
• Michele Jacobson, SLP

• Anatomic Pathology & Clinical Pathology Physician in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Anatomic Pathology & Clinical Pathology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2022; 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.