Island Musculoskeletal Care MD PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

Legal business name

ISLAND MUSCULOSKELETAL CARE MD PC

Practice address

3500 Nostrand Ave
Brooklyn, NY 11229-5107

Phone

(718) 332-3600

Fax

(718) 332-3856

NPI assigned

Aug 7, 2020

Last updated

Aug 7, 2020By 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

Barry Douglas Jupiter, MDNPI 1295721405

Title

President

Phone

(516) 374-6838

Specialties & licenses 6

Addresses

Tax ID family

Island Musculoskeletal Care6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

• Island Musculoskeletal Care MD PC

  • Orthopaedic Surgery Physician
  • West Babylon, NY
  • NPI 1609141290
  NPD tax ID
• Island Musculoskeletal Care MD, PC

  • Physical Therapist
  • Commack, NY
  • NPI 1295930626
  NPD tax ID
• Island Musculoskeletal Care, M.D., P.C

  • Physical Therapist
  • Laurelton, NY
  • NPI 1851452023
  NPD tax ID
• Island Musculoskeletal Care, M.D., P.C.

  • Neurology Physician
  • Selden, NY
  • NPI 1609099027
  NPD tax ID
• Island Musculoskeletal Care, MD, PC

  • Orthopaedic Surgery Physician
  • Patchogue, NY
  • NPI 1265627335
  NPD tax ID

Practitioners 1

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.

• Barry Douglas Jupiter, MD

  • Orthopaedic Surgery Physician
  • Hewlett, NY
  • NPI 1295721405
  Authorized official Same address or phone

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

{
    "created_epoch": "1596758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596758400000",
    "number": "1124638747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 360",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115570360",
            "telephone_number": "516-374-6838",
            "fax_number": "516-374-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NOSTRAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112295107",
            "telephone_number": "718-332-3600",
            "fax_number": "718-332-3856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MUSCULOSKELETAL CARE MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-07",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A",
        "authorized_official_last_name": "JUPITER",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-374-6838",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Ambulatory Surgery Center
• Island Emergency Medical Services PC
• Island Express Pharmacy Inc
• Island Heights Pediatrics PC
• Island Medical Consilium PLLC
• Island Musculoskeletal Care, M.D., P.C.
• Island One Occupational Therapy, PC
• Island Pharmacy & Surgical Inc
• Island Pharmacy & Surgical Inc.
• Island Pharmacy Inc

• Orthopaedic Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Orthopaedic Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; 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.