Active NPI
Island Medical Associates, P.C.
- Specialist
- Amityville, NY
National Provider Identifier
1194869495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Legal business name
- ISLAND MEDICAL ASSOCIATES, P.C.
- Practice address
- 618 Broadway
Amityville, NY 11701-2124 - Phone
- (631) 789-4040
- Fax
- (631) 789-4083
- NPI assigned
- Feb 19, 2007
- 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
- Mrs. Karen Marten
- Title
- Officel Manager
- Phone
- (631) 789-4040
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
618 Broadway
Amityville, NY 11701-2124
Mailing address
618 Broadway
Amityville, NY 11701-2124
Phone (631) 789-4040
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027899 | Other | NY | BLUE CROSS |
| 14645 | Other | NY | VYTRA |
| 8459937 | Other | NY | AETNA |
| 7166538 | Other | NY | LOCAL 1199 |
| AZ00211 | Other | NY | MDNY |
| 001148 | Other | NJ | HORIZON HEALTHCARE |
| 0445851003 | Other | NY | CIGNA |
| ANC129 | Other | NY | OXFORD |
National Provider Directory
National Provider DirectoryLocations
618 Broadway
#220
Amityville, NY 11701
Phone (631) 789-4040
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Bay Shore, NY
- NPI 1477579209
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1194869495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "618 BROADWAY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012124",
"telephone_number": "631-789-4040",
"fax_number": "631-789-4083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "618 BROADWAY",
"city": "AMITYVILLE",
"state": "NY",
"postal_code": "117012124",
"telephone_number": "631-789-4040",
"fax_number": "631-789-4083"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND MEDICAL ASSOCIATES, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MARTEN",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OFFICEL MANAGER",
"authorized_official_telephone_number": "631-789-4040",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "027899",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VYTRA",
"identifier": "14645",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "8459937",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LOCAL 1199",
"identifier": "7166538",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AZ00211",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HORIZON HEALTHCARE",
"identifier": "001148",
"state": "NJ"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0445851003",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ANC129",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amityville, NY
Sources for this page
- 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.