Active NPI
Island Primary Medical Care Associates PC
- Internal Medicine Physician
- Massapequa, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 166537
- Legal business name
- ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC
- Practice address
- 4625 Merrick Rd
Massapequa, NY 11758-6010 - Phone
- (516) 798-1116
- Fax
- (516) 798-8530
- NPI assigned
- Jun 4, 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
- Joseph Adiyody
- Title
- Partner
- Phone
- (516) 798-1116
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 166537 | NY | Primary |
Addresses
Primary practice location
4625 Merrick Rd
Massapequa, NY 11758-6010
Mailing address
PO Box 9461
Uniondale, NY 11555-9461
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D0874697 | Island Primary Medical Care PC | Accreditation | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
4625 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-1116
3541 Jerusalem Ave
Wantagh, NY 11793
Phone (516) 763-3000
Practitioners & affiliated clinicians
Practitioners 9
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.
-
- Internal Medicine Physician
- Babylon, NY
- NPI 1568491868
-
- Internal Medicine Physician
- Massapequa, NY
- NPI 1184652356
-
- Internal Medicine Physician
- Wantagh, NY
- NPI 1659309920
-
- Internal Medicine Physician
- Massapequa, NY
- NPI 1548299746
-
- Internal Medicine Physician
- Babylon, NY
- NPI 1578595328
-
- Internal Medicine Physician
- Babylon, NY
- NPI 1538319710
-
- Family Medicine Physician
- Wantagh, NY
- NPI 1982742755
-
- Specialist
- Babylon, NY
- NPI 1255431276
-
- Specialist
- Babylon, NY
- NPI 1407956402
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1292544000000",
"number": "1487692083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9461",
"city": "UNIONDALE",
"state": "NY",
"postal_code": "115559461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4625 MERRICK RD",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117586010",
"telephone_number": "516-798-1116",
"fax_number": "516-798-8530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND PRIMARY MEDICAL CARE ASSOCIATES PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-04",
"last_updated": "2010-12-17",
"status": "A",
"authorized_official_last_name": "ADIYODY",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "516-798-1116"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "NY",
"license": "166537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
- Island Lighthouse Consultation Services, NP in Psychiatry, P.C.
- Island Medical Office PC
- Island Neuro Care, PC
- Island Neurological Therapy, P.C.
- Island Orthopaedics & Sports Medicine PC
- Island Wide Medical Care PLLC
- Vinita J Israni, R.PH
- J & N Rehab Physical Therapy PLLC
- Alyssa Jacobs
- Meena Jaiswal, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.