Islandmed Inc.

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

License

34494 Issued in NY

Legal business name

ISLANDMED INC.

Practice address

1265 Sunrise Hwy
Suite 102
Bay Shore, NY 11706-5925

Phone

(631) 206-1195

Fax

(631) 206-1196

NPI assigned

May 1, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Michael Poliandro

Title

Owner President

Phone

(631) 206-1195

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407077381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 LES ST",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117064520",
            "telephone_number": "631-206-1195",
            "fax_number": "631-206-1196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1265 SUNRISE HWY",
            "address_2": "SUITE 102",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065925",
            "telephone_number": "631-206-1195",
            "fax_number": "631-206-1196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDMED INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "POLIANDRO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "631-206-1195",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NY",
            "license": "34494",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02000411",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Island Nephrology Consultants, P.C.
• Island Regional Physical Therapy PLLC
• Island Shore Physical Therapy LLP
• Island Surgical & Vascular Group, P.C.
• Island Wide Ambulette Services Inc
• Islandwide Medical PLLC
• Brandon Isolano, PA
• Doron Israelski, MD
• Robert Issing, PT,DPT
• J & J Home Care & Surgical Supply Inc.

• Non-emergency Medical Transport (VAN) in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Non-emergency Medical Transport (VAN) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.