Island Nephrology PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

197431 Issued in NY

Legal business name

ISLAND NEPHROLOGY PC

Practice address

4 Technology Drive
Suite-130
East Setauket, NY 11733

Phone

(631) 479-3743

Fax

(561) 282-3238

NPI assigned

Jan 19, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Ashfaq Hussain, MDNPI 1942212774

Title

Sole Proprietor

Phone

(631) 456-4447

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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

• Ashfaq Swapan Hussain, M.D.

  • Nephrology Physician
  • East Setauket, NY
  • NPI 1942212774
  Medicare reassignment NPD Authorized official
• Zeenat A Hussain, MD

  • Internal Medicine Physician
  • East Setauket, NY
  • NPI 1548261076
  NPD (past)

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1555459200000",
    "number": "1497086235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 FIELDHOUSE AVE",
            "address_2": "EAST SETAUKET",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117331038",
            "telephone_number": "631-456-4447",
            "fax_number": "561-282-3238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DRIVE",
            "address_2": "SUITE-130",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-479-3743",
            "fax_number": "561-282-3238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NEPHROLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-19",
        "last_updated": "2019-04-17",
        "status": "A",
        "authorized_official_last_name": "HUSSAIN",
        "authorized_official_first_name": "ASHFAQ",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "631-456-4447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "197431",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7X4431",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03250268",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan Scott Innes, PA-C
• Maria Iovino
• Suzanne Isaksen, PT
• Alaa A Ishak, PHARM.D.
• Island Concierge Medical Services PLLC
• Island Physical Therapy of East Setauket
• Island Power Physical Therapy PLLC
• Kathleen Anne Isler, RPH
• Catherine Izzo
• Gregg Joseph Jarit, M.D.

• Nephrology Physician in East Setauket, NY
• Providers in East Setauket, NY by specialty
• Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.