Island of Health Medical PC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

215006 Issued in NY

Legal business name

ISLAND OF HEALTH MEDICAL PC

Practice address

8002 165 St. Union TNPK.
Jamaica, NY 11432

Phone

(718) 380-7000

Fax

(212) 571-5001

NPI assigned

Oct 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ilya KleynNPI 1851327092

Title

MD

Phone

(917) 554-5735

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 2

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

• Ilya Kleyn, MD

  • Internal Medicine Physician
  • New York, NY
  • NPI 1851327092
  NPD (past) Authorized official
• Sofya Kleyn

  • Geriatric Medicine (Internal Medicine) Physician
  • New York, NY
  • NPI 1972628865
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1689763443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80-02 165 ST. UNION TNPK.",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-380-7000",
            "fax_number": "212-571-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8002 165 ST. UNION TNPK.",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11432",
            "telephone_number": "718-380-7000",
            "fax_number": "212-571-5001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND OF HEALTH MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "KLEYN",
        "authorized_official_first_name": "ILYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "917-554-5735",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NY",
            "license": "215006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02091596",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naureen Islam, PHARMD
• Ratul Islam, MD
• Raveena Islam, LMHC
• Shaniun Islam
• Shanzida Islam
• Island of Health Medical PC
• Haider Ismail
• Fady Israel
• Patricia Israel
• Israelshining Star Incorporated

• Primary Care Clinic/Center in Jamaica, NY
• Providers in Jamaica, NY by specialty
• Primary Care Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.