Organization Active NPI

North Island Medical PLLC

  • Primary Care Clinic/Center
  • Malverne, NY
National Provider Identifier
1124890298
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
NORTH ISLAND MEDICAL PLLC
Practice address
128 Malverne Ave
Malverne, NY 11565-1442
Phone
(718) 252-4765
NPI assigned
Oct 23, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Cesare Saponieri, MD
Title
President
Phone
(718) 252-4765

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

128 Malverne Ave
Malverne, NY 11565-1442

Mailing address

128 Malverne Ave
Malverne, NY 11565-1442

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1698019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1124890298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 MALVERNE AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 MALVERNE AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651442",
            "telephone_number": "718-252-4765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH ISLAND MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-23",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "SAPONIERI",
        "authorized_official_first_name": "CESARE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-252-4765",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.