Island Medical Laser, P.C.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

Legal business name

ISLAND MEDICAL LASER, P.C.

Doing business as

Island Integrative Medical Wellness

Practice address

118 Glen Cove Rd
Roslyn Heights, NY 11577-1718

Phone

(718) 554-1042

NPI assigned

Feb 15, 2019

Last updated

Feb 15, 2019By 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

Mr. Varun Bajaj

Title

Admin

Phone

(718) 554-1042

Specialties & licenses 1

Addresses

Other names 1

• Island Integrative Medical Wellness Doing business as

Locations

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

{
    "created_epoch": "1550188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1550188800000",
    "number": "1144786914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 BROADHOLLOW RD STE 427",
            "city": "MELVILLE",
            "state": "NY",
            "postal_code": "117474701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GLEN COVE RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771718",
            "telephone_number": "718-554-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL LASER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-15",
        "last_updated": "2019-02-15",
        "status": "A",
        "authorized_official_last_name": "BAJAJ",
        "authorized_official_first_name": "VARUN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "718-554-1042",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Island Integrative Medical Wellness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Institute for Emotional Health
• Internal Medicine Associates of East Hills,LLP
• Marisa Ip, M.D.
• David Isaacs, DDS
• Shamsul X Islam
• Island Pathology Diagnostics
• Island Sleep Medicine Specialists PC
• Anna Izsak, OTR L
• Ja Medical Care PLLC
• Eric S Jacob, D.D.S.

• Public Health & General Preventive Medicine Physician in Roslyn Heights, NY
• Providers in Roslyn Heights, NY by specialty
• Public Health & General Preventive Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2019; 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.