Island Neurological Therapy, P.C.

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

209199 Issued in NY

Legal business name

ISLAND NEUROLOGICAL THERAPY, P.C.

Practice address

922 N Broadway
Massapequa, NY 11758-2303

Phone

(516) 520-5507

Fax

(516) 520-5493

NPI assigned

Jun 10, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Birendra Trivedi, M.D.NPI 1992750244

Title

Ceo

Phone

(516) 520-5507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 3

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

• Birendra Kumar Trivedi, M.D.

  • Neurology Physician
  • Massapequa, NY
  • NPI 1992750244
  Medicare reassignment Care Compare group NPD Authorized official
• Padmaja Aradhya, MD

  • Neurology Physician
  • Massapequa, NY
  • NPI 1427022391
  Medicare reassignment Care Compare group NPD
• Karen Blitz-Shabbir, DO

  • Neurology Physician
  • Brooklyn, NY
  • NPI 1275562894
  Medicare reassignment NPD

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

{
    "created_epoch": "1433894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1710368246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582303",
            "telephone_number": "516-520-5507",
            "fax_number": "516-520-5493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 N BROADWAY",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582303",
            "telephone_number": "516-520-5507",
            "fax_number": "516-520-5493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND NEUROLOGICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-10",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "BIRENDRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "516-520-5507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NY",
            "license": "209199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Diagnostic Imaging Associates
• Island Family Medicine PC
• Island Lighthouse Consultation Services, NP in Psychiatry, P.C.
• Island Medical Office PC
• Island Neuro Care, PC
• Island Orthopaedics & Sports Medicine PC
• Island Primary Medical Care Associates PC
• Island Wide Medical Care PLLC
• Vinita J Israni, R.PH
• J & N Rehab Physical Therapy PLLC

• Medical Specialty Clinic/Center in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Medical Specialty Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.