Island Medical Group, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

ISLAND MEDICAL GROUP, PC

Practice address

4277 Hempstead Tpke
Suite 209
Bethpage, NY 11714-5709

Phone

(516) 731-7770

Fax

(516) 731-7052

NPI assigned

Aug 19, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Brenner-Smith

Title

Billing Manager

Phone

(516) 731-7770

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Steven Bourla, M.D.

  • Nephrology Physician
  • Plainview, NY
  • NPI 1649216367

  Internal Medicine

  NPD
• Ron E Kastner, M.D.

  • Internal Medicine Physician
  • Plainview, NY
  • NPI 1134200058
  NPD
• W. Noah Kromholz, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Lawrence, NY
  • NPI 1558441089
  NPD
• Sander Leiman, M.D.

  • Cardiovascular Disease Physician
  • Plainview, NY
  • NPI 1457387680
  NPD

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233705600000",
    "number": "1285748749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "SUITE 209",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145709",
            "telephone_number": "516-731-7770",
            "fax_number": "516-731-7052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4277 HEMPSTEAD TPKE",
            "address_2": "SUITE 209",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145709",
            "telephone_number": "516-731-7770",
            "fax_number": "516-731-7052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2009-02-04",
        "status": "A",
        "authorized_official_last_name": "BRENNER-SMITH",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "516-731-7770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00100918",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elena Toni Ioannou
• Minas Teddy Ioannou, PHARMD
• Jerry Ipe, D.O.
• Mir Javed Iqbal, MD
• Sarah Helene Isbitsky, LCSW
• Island Medical Physicians, PC
• Island Pulmonary Associates, PC
• Island Pulmonary Association PC
• John Anthony Jackalone, DPM
• Steve Gary Jacobson, RPH

• Internal Medicine Physician in Bethpage, NY
• Providers in Bethpage, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; 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.