Island Internist PC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

234387 Issued in NY

Legal business name

ISLAND INTERNIST PC

Practice address

420 Lyndale Ave
Staten Island, NY 10312-6131

Phone

(718) 967-5630

Fax

(718) 967-7099

NPI assigned

Jan 26, 2007

Last updated

May 27, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donna Seminara, M.D.NPI 1376580662

Title

Owner

Phone

(718) 967-1700

Specialties & licenses 5

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 6

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.

• Donna P Seminara, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Staten Island, NY
  • NPI 1376580662

  General Practice

  Medicare reassignment NPD Authorized official
• Larisa Malisova, DO

  • General Practice Physician
  • Staten Island, NY
  • NPI 1861448896
  Medicare reassignment NPD
• David R. Pfaff, M.D.

  • Internal Medicine Physician
  • Staten Island, NY
  • NPI 1639276447
  NPD
• Eleonora Akker, D.O

  • General Practice Physician
  • Brooklyn, NY
  • NPI 1336194281
  NPD (past)
• Giovannie Jean-Baptiste, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Staten Island, NY
  • NPI 1124001599
  NPD (past)
• Felicia Jacob, M.D

  • Internal Medicine Physician
  • Orlando, FL
  • NPI 1437197266
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274918400000",
    "number": "1073669479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 LYNDALE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126131",
            "telephone_number": "718-967-1700",
            "fax_number": "718-967-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 LYNDALE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103126131",
            "telephone_number": "718-967-5630",
            "fax_number": "718-967-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND INTERNIST PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2010-05-27",
        "status": "A",
        "authorized_official_last_name": "SEMINARA",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-967-1700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "179723",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "234387",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "22415",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "171607",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "NY",
            "license": "234484",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1124001599",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1336194281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI #",
            "identifier": "1376580662",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1861448896",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI#",
            "identifier": "1750476289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Cardiovascular, PC
• Island Care PT P.C.
• Island Electrocardiographic Services, PC
• Island Eye Optical Corp.
• Island Hearing Solutions LLC
• Island Kids Pediatrics, P.C.
• Island Medical Specialists, P.L.L.C.
• Island Men's Medical Health Practice, PC
• Island Nephrology Services, PC
• Island Nurse Practitioner in Family Health, PLLC

• General Practice Physician in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2010; 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.