Active NPI
Island Orthopaedics & Sports Medicine PC
- Orthopaedic Surgery Physician
- Massapequa, NY
National Provider Identifier
1437236353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- ISLAND ORTHOPAEDICS & SPORTS MEDICINE PC
- Practice address
- 660 Broadway
Massapequa, NY 11758-2312 - Phone
- (516) 798-0111
- Fax
- (516) 798-3631
- NPI assigned
- Nov 1, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Gregory Nizich
- Title
- Administrator
- Phone
- (516) 798-0111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary |
Addresses
Primary practice location
660 Broadway
Massapequa, NY 11758-2312
Mailing address
660 Broadway
Massapequa, NY 11758-2312
Phone (516) 798-0111
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Huntington, NY
- NPI 1093733545
-
- Orthopaedic Surgery Physician
- Massapequa, NY
- NPI 1316053440
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1260748800000",
"number": "1437236353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582312",
"telephone_number": "516-798-0111",
"fax_number": "516-798-3631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 BROADWAY",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117582312",
"telephone_number": "516-798-0111",
"fax_number": "516-798-3631"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND ORTHOPAEDICS & SPORTS MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-01",
"last_updated": "2009-12-14",
"status": "A",
"authorized_official_last_name": "NIZICH",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "516-798-0111",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
- Island Family Medicine PC
- Island Lighthouse Consultation Services, NP in Psychiatry, P.C.
- Island Medical Office PC
- Island Neuro Care, PC
- Island Neurological Therapy, P.C.
- Island Primary Medical Care Associates PC
- Island Wide Medical Care PLLC
- Vinita J Israni, R.PH
- J & N Rehab Physical Therapy PLLC
- Alyssa Jacobs
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 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.