Island Nephrology Consultants, P.C.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ISLAND NEPHROLOGY CONSULTANTS, P.C.

Practice address

301 E Main St
Bay Shore, NY 11706-8408

Phone

(516) 318-8527

NPI assigned

Jul 18, 2012

Organization subpart

No

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

Authorized official

Name

Susan Sanginario

Title

Credentialing Manager

Phone

(631) 745-7594

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1342569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342569600000",
    "number": "1336494053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ORINOCO DR",
            "address_2": "#459",
            "city": "BRIGHTWATERS",
            "state": "NY",
            "postal_code": "117183024",
            "telephone_number": "516-318-8527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E MAIN ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068408",
            "telephone_number": "516-318-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NEPHROLOGY CONSULTANTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-18",
        "last_updated": "2012-07-18",
        "status": "A",
        "authorized_official_last_name": "SANGINARIO",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "631-745-7594"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Craig Irby I
• Tochi Iroku-Malize, MD
• Miriam Isaacs, RN
• Shon Anthony Isaacs Jr.
• Island Heart Associates, LLP
• Island Regional Physical Therapy PLLC
• Island Shore Physical Therapy LLP
• Island Surgical & Vascular Group, P.C.
• Island Wide Ambulette Services Inc
• Islandmed Inc.

• Nephrology Physician in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2012; 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.