Central Island Internal Medicine PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

198062 Issued in NY

Legal business name

CENTRAL ISLAND INTERNAL MEDICINE PLLC

Practice address

202 Fallwood Pkwy
Farmingdale, NY 11735-4929

Phone

(516) 249-1999

Fax

(516) 249-1919

NPI assigned

Dec 30, 2010

Last updated

Dec 30, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Melanie Maquine, D.O.

Title

Medical Director

Phone

(516) 850-8451

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1710281043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 FALLWOOD PKWY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354929",
            "telephone_number": "516-249-1999",
            "fax_number": "516-249-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 FALLWOOD PKWY",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117354929",
            "telephone_number": "516-249-1999",
            "fax_number": "516-249-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ISLAND INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "MAQUINE",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-850-8451",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "198062",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "198062",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.