Eastern Island Medical Care PC

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

173040 Issued in NY

Legal business name

EASTERN ISLAND MEDICAL CARE PC

Practice address

1646 Brentwood Rd
Brentwood, NY 11717-5534

Phone

(631) 231-5200

Fax

(631) 231-4431

NPI assigned

Jun 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Scott Roteman, M.D.

Title

Medical Director/Owner

Phone

(631) 231-5200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318982400000",
    "number": "1366484750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1646 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175534",
            "telephone_number": "631-231-5200",
            "fax_number": "631-231-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 BRENTWOOD RD",
            "city": "BRENTWOOD",
            "state": "NY",
            "postal_code": "117175534",
            "telephone_number": "631-231-5200",
            "fax_number": "631-231-4431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ISLAND MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-12",
        "last_updated": "2011-10-19",
        "status": "A",
        "authorized_official_last_name": "ROTEMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "631-231-5200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "NY",
            "license": "173040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Linda Dupuis Rollock, LMSW
• Christopher S. Durant, M.D.
• Shikha Dusad
• Alyssa Michelle Earl
• East Brentwood Emergency Medical Services Inc
• Erica Edouard, LPN
• Nneka Pamela Egbuna, LPN
• Uchenna Egbuna
• Timothy Eisemann, RN
• Zeinab S. Elbaz, M.D. ,FRCPC

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Brentwood, NY
• Providers in Brentwood, NY by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2011; 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.