Organization Active NPI

Island Comprehensive Care Inc.

  • Internal Medicine Physician
  • Wading River, NY
National Provider Identifier
1285104257
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
ISLAND COMPREHENSIVE CARE INC.
Practice address
6144 Route 25a Ste 13
Wading River, NY 11792-2008
Phone
(917) 225-2165
NPI assigned
Dec 3, 2018
Last updated
Sep 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Authorized official

Name
Dr. Neil Jaglall, MDNPI 1811132632
Title
Medical Doctor
Phone
(516) 433-8106

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

6144 Route 25a Ste 13
Wading River, NY 11792-2008

Mailing address

6144 Route 25a Ste 13
Wading River, NY 11792-2008
Phone (516) 433-8106

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190227001581 NY Part B Supplier - Clinic/Group Practice 5799024261 Receives reassigned benefits from 5 practitioners
Practice locations: Wading River, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790726400000",
    "number": "1285104257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A STE 13",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922008",
            "telephone_number": "516-433-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 ROUTE 25A STE 13",
            "city": "WADING RIVER",
            "state": "NY",
            "postal_code": "117922008",
            "telephone_number": "917-225-2165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND COMPREHENSIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A",
        "authorized_official_last_name": "JAGLALL",
        "authorized_official_first_name": "NEIL",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "516-433-8106",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wading River, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.