Island Emergency Medical Services PC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

ISLAND EMERGENCY MEDICAL SERVICES PC

Practice address

200 Belle Terre Rd
Port Jefferson, NY 11777-1928

Phone

(631) 474-6000

NPI assigned

Jun 25, 2007

Organization subpart

No

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

Authorized official

Name

Daniel Ferrara, D.O.

Title

Owner Medical Director

Phone

(800) 377-8721

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Island Emergency Medical Services PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Island Emergency Medical Services PC

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1629274808
  NPD tax ID

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669678868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 409213",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303849213",
            "telephone_number": "800-377-8721",
            "fax_number": "304-523-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BELLE TERRE RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117771928",
            "telephone_number": "631-474-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND EMERGENCY MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FERRARA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER  MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "800-377-8721",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02093185",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kirolos Ibrahim, M.D.
• Roseline Idoko
• Becca Ilvento, PSY.D.
• Iryna Ilyasova, M.D
• Integrated Psychotherapy Counseling LCSW, PLLC (Root & Rise Clinical Specialists)
• Island Neonatology, PLLC
• Lauren L Jackson, DPT
• Jan S. Miller
• Janice Martin Licensed Clinical Social Worker PC
• Czariavna Javed, MD

• Emergency Medicine Physician in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.