Island Surgical Group, PC

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

147085 Issued in NY

Legal business name

ISLAND SURGICAL GROUP, PC

Practice address

1835 Bay Ridge Pkwy FL 2
Brooklyn, NY 11204-5706

Phone

(718) 238-6100

Fax

(718) 680-7969

NPI assigned

Jun 22, 2006

Organization subpart

No

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

Authorized official

Name

Sara Jahangir

Title

Manager

Phone

(718) 238-6100

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Qamar Amiruddin, M.D.

  • Surgical Critical Care Physician
  • Brooklyn, NY
  • NPI 1407865702
  NPD (past)

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1205872702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1835 BAY RIDGE PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045706",
            "telephone_number": "718-238-6100",
            "fax_number": "718-680-7969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1835 BAY RIDGE PKWY FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112045706",
            "telephone_number": "718-238-6100",
            "fax_number": "718-680-7969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1435 86th Street",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112283403",
            "country_code": "US",
            "telephone_number": "718-238-6100",
            "fax_number": "718-680-7969",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1435 86th Street",
            "address_2": "2nd Floor",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112283403",
            "country_code": "US",
            "telephone_number": "718-238-6100",
            "fax_number": "718-680-7969",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND SURGICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "JAHANGIR",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "718-238-6100"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "NY",
            "license": "147085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1205872702",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00834253",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island One Occupational Therapy, PC
• Island Pharmacy & Surgical Inc
• Island Pharmacy & Surgical Inc.
• Island Pharmacy Inc
• Island Rehabilitative Services/B'Klyn
• Kristen Alison Island, MD
• Isleep Diagnostics
• Sharon Nicola Isles
• Ali Ismail
• Alice Freya Ismail

• Surgery Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.