Organization Active NPI

Island Orthopaedics & Sports Medicine PC

  • Orthopaedic Surgery Physician
  • Massapequa, NY
National Provider Identifier
1437236353
Registry record updated Dec 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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

Updated by the provider on Dec 14, 2009

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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

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.

Verify at the official NPI Registry.