Active NPI
Island Musculoskeletal Care MD PC
- Orthopaedic Surgery Physician
- Brooklyn, NY
National Provider Identifier
1124638747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- 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
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Barry Douglas Jupiter, MD
- Title
- President
- Phone
- (516) 374-6838
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | |||
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Physical Medicine & Rehabilitation Physician | 208100000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Physical Therapist | 225100000X | |||
| Physician Assistant | 363A00000X |
Addresses
Primary practice location
3500 Nostrand Ave
Brooklyn, NY 11229-5107
Mailing address
PO Box 360
Hewlett, NY 11557-0360
Phone (516) 374-6838
National Provider Directory
National Provider Directory- Tax ID family
- Island Musculoskeletal Care D PC
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- West Babylon, NY
- NPI 1609141290
-
- Physical Therapist
- Commack, NY
- NPI 1295930626
-
- Physical Therapist
- Laurelton, NY
- NPI 1851452023
-
- Neurology Physician
- Selden, NY
- NPI 1609099027
-
- Orthopaedic Surgery Physician
- Patchogue, NY
- NPI 1265627335
NPI Registry JSON
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": []
}
Other providers in Brooklyn, NY
- 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
Sources for this page
- 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.