Island Therapy Fitness Center, LLC

Primary specialty

Customized Equipment (DME)Taxonomy code 332BC3200X

License

149148 Issued in NY

Legal business name

ISLAND THERAPY FITNESS CENTER, LLC

Practice address

200 Old Country Rd
Suite 470
Mineola, NY 11501-4235

Phone

(516) 248-4488

Fax

(516) 248-1727

NPI assigned

Dec 20, 2006

Last updated

Aug 22, 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

Mauro Cataletto, MDNPI 1447311915

Title

Owner

Phone

(516) 248-4488

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mauro M Cataletto, M.D.

  • Pediatric Orthopaedic Surgery Physician
  • Mineola, NY
  • NPI 1447311915
  NPD (past) Authorized official
• Marc Adam Agulnick, MD

  • Orthopaedic Surgery of the Spine Physician
  • Mineola, NY
  • NPI 1700875846
  NPD (past)

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184788770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "address_2": "SUITE 470",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "516-248-4488",
            "fax_number": "516-248-1727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "address_2": "SUITE 470",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "516-248-4488",
            "fax_number": "516-248-1727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND THERAPY FITNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CATALETTO",
        "authorized_official_first_name": "MAURO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-248-4488",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NY",
            "license": "149148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teofilita Isaacson, M.D.
• Fatin Ishraq, MD
• Nowshin Islam, MD
• Island Cosmetic and Reconstructive Surgery PLLC (Island Plastic Surgery)
• Island Interventional Pain Management PLLC
• Island Wide Medical Associates, PC (Island Cardiac Specialists)
• Eugene Israilov, PT, DPT
• Tova Fischer Isseroff, M.D.
• Charo L Iuvara, PT
• George Ivak, NYCPS-P

• Customized Equipment (DME) in Mineola, NY
• Providers in Mineola, NY by specialty
• Customized Equipment (DME) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.