Organization Active NPI

Island Sports Medicine LLP

  • Orthopaedic Surgery Physician
  • East Meadow, NY
National Provider Identifier
1073809885
Registry record updated Jun 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
150620 Issued in NY
Legal business name
ISLAND SPORTS MEDICINE LLP
Practice address
30 Merrick Ave
Suite 100
East Meadow, NY 11554-1580
Phone
(516) 794-7010
Fax
(516) 794-7074
NPI assigned
Jun 21, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2011

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

Authorized official

Name
Dr. Jeffrey M Meyer, M.D.
Title
Owner
Phone
(516) 794-7010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 150620 NY Primary

Addresses

Primary practice location

30 Merrick Ave
Suite 100
East Meadow, NY 11554-1580

Mailing address

30 Merrick Ave
Suite 100
East Meadow, NY 11554-1580
Phone (516) 794-7010

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308614400000",
    "number": "1073809885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE",
            "address_2": "SUITE 100",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541580",
            "telephone_number": "516-794-7010",
            "fax_number": "516-794-7074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MERRICK AVE",
            "address_2": "SUITE 100",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541580",
            "telephone_number": "516-794-7010",
            "fax_number": "516-794-7074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SPORTS MEDICINE LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A",
        "authorized_official_last_name": "MEYER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-794-7010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "150620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Meadow, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2011; 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.