Islandwide Medical PLLC

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

138934 Issued in NY

Legal business name

ISLANDWIDE MEDICAL PLLC

Practice address

275 Helm LN
Bay Shore, NY 11706-8118

Phone

(516) 449-4099

Fax

(631) 968-1317

NPI assigned

Jun 13, 2016

Organization subpart

No

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

Authorized official

Name

Vinod Khanijo, MD

Title

Owner

Phone

(516) 449-4099

Specialties & licenses 1

Addresses

Practitioners 1

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

• Sarita Khanijo, M.D

  • Family Medicine Physician
  • Central Islip, NY
  • NPI 1265448682
  NPD (past)

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1124478987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 HELM LN",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068118",
            "telephone_number": "516-449-4099",
            "fax_number": "631-968-1317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 HELM LN",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068118",
            "telephone_number": "516-449-4099",
            "fax_number": "631-968-1317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDWIDE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "KHANIJO",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-449-4099",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "138934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Regional Physical Therapy PLLC
• Island Shore Physical Therapy LLP
• Island Surgical & Vascular Group, P.C.
• Island Wide Ambulette Services Inc
• Islandmed Inc.
• Brandon Isolano, PA
• Doron Israelski, MD
• Robert Issing, PT,DPT
• J & J Home Care & Surgical Supply Inc.
• Bernice Jackson, NP

• Pulmonary Disease Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Pulmonary Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.