Island Rheumatology and Osteoporosis, PC

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

Legal business name

ISLAND RHEUMATOLOGY AND OSTEOPOROSIS, PC

Practice address

6144 Route 25a Ste 13
Wading River, NY 11792

Phone

(631) 886-2488

NPI assigned

Nov 22, 2017

Last updated

Jun 21, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sanjay Godhwani, MDNPI 1174783567

Title

Rheumatologist/Medical Director

Phone

(631) 886-2844

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 4

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.

• Alexandra Karl, FNP-C

  • Family Nurse Practitioner
  • Massapequa, NY
  • NPI 1639658206
  Medicare reassignment NPD
• Kyle Raymond Eskridge, PA

  • Rheumatology Physician
  • Wading River, NY
  • NPI 1649740374
  Medicare reassignment
• Craig Orofino, R.P.A.-C.

  • Physician Assistant
  • Plainview, NY
  • NPI 1922268887
  Medicare reassignment
• Sanjay Godhwani, MD

  • Rheumatology Physician
  • Wading River, NY
  • NPI 1174783567
  Authorized official Same address or phone

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

{
    "created_epoch": "1511308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1386158764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 960",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117760813",
            "telephone_number": "917-224-0905"
        },
        {
            "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": "11792",
            "telephone_number": "631-886-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND RHEUMATOLOGY AND OSTEOPOROSIS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-22",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "GODHWANI",
        "authorized_official_first_name": "SANJAY",
        "authorized_official_title_or_position": "RHEUMATOLOGIST/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-886-2844",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03497523",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Iannone, M.S.
• Alissa Iervese
• Integrative Licensed Clinical Social Work PLLC
• Island Comprehensive Care Inc.
• Island Foot and Ankle
• J N Brodbeck DC PLLC (Brodbeck Chiropractic)
• J on N Eil Brodbeck DC PLLC
• Neil D Jaglall, M.D.
• Alina Jakimiuk-Molik, RN
• William Jantzen, PT

• Rheumatology Physician in Wading River, NY
• Providers in Wading River, NY by specialty
• Rheumatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2018; 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.