Island Eye Surgicenter LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

2951205R Issued in NY

Legal business name

ISLAND EYE SURGICENTER LLC

Practice address

1500 Jericho Tpke
Westbury, NY 11590-1045

Phone

(516) 877-2400

Fax

(516) 877-1879

NPI assigned

Oct 24, 2006

Organization subpart

No

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

Authorized official

Name

Sarah Malaniak

Title

Executive Director

Phone

(516) 877-2400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Listed as

Island Eye Surgicenter LLCCCN 33C0001047

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

Practitioners 1

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

• Russell G Fumuso, M.D.

  • Ophthalmology Physician
  • Rockville Centre, NY
  • NPI 1750386736
  NPD (past)

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598486400000",
    "number": "1629152053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 E GATE BLVD STE 111",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115302136",
            "telephone_number": "516-877-2400",
            "fax_number": "516-877-1879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 JERICHO TPKE",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901045",
            "telephone_number": "516-877-2400",
            "fax_number": "516-877-1879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND EYE SURGICENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2020-08-27",
        "certification_date": "2020-08-27",
        "status": "A",
        "authorized_official_last_name": "MALANIAK",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "516-877-2400"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NY",
            "license": "2951205R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02064079",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Inho S Kay Physician MD PC
• Integrative Medicine Wellness PC
• Interactive Health Pharmacy Services, Inc.
• Cristina Intrabartolo
• Tamara Irving, OT
• Elizabeth Issa Basch, MD
• Lisa Italiano, MS GENERAL/SPED
• J. C. Chiropractic Services P.C.
• Melanie Jackson, N.P.
• Aleyamma Sally Jacob, MD

• Ambulatory Surgical Clinic/Center in Westbury, NY
• Providers in Westbury, NY by specialty
• Ambulatory Surgical Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2020; 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.

Verify at the official NPI Registry.