Organization Active NPI

West Islip Medical Care

  • Internal Medicine Physician
  • West Islip, NY
National Provider Identifier
1467749580
Registry record updated Jul 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
184078 Issued in NY
Legal business name
WEST ISLIP MEDICAL CARE
Practice address
510 Montauk Hwy
Ste D
West Islip, NY 11795-4422
Phone
(631) 587-7474
NPI assigned
Jul 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2011

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

Authorized official

Name
Dr. Anna Gorski-Piaszczyk, M.D.NPI 1518044981
Title
President & Ceo
Phone
(631) 587-7474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 184078 NY Primary

Addresses

Primary practice location

510 Montauk Hwy
Ste D
West Islip, NY 11795-4422

Mailing address

PO Box 2195
North Babylon, NY 11703-0195

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D0159887West Islip Medical Care PC510 Montauk Highway Suite D, West Islip, NY 11795Certificate of waiverSep 24, 2027

National Provider Directory

National Provider Directory

Locations

510 Montauk Hwy
Ste D
West Islip, NY 11795
Phone (516) 587-7474

Practitioners & affiliated clinicians

Practitioners 1

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": "1310256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310256000000",
    "number": "1467749580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2195",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117030195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 MONTAUK HWY",
            "address_2": "STE D",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117954422",
            "telephone_number": "631-587-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST ISLIP MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-10",
        "last_updated": "2011-07-10",
        "status": "A",
        "authorized_official_last_name": "GORSKI-PIASZCZYK",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "631-587-7474",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "184078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.