Organization Active NPI

Island Oncology Hematology Associates,P.C.

  • Specialist
  • Levittown, NY
National Provider Identifier
1720266356
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
095557 Issued in NY
Legal business name
ISLAND ONCOLOGY HEMATOLOGY ASSOCIATES,P.C.
Practice address
3601 Hempstead Tpke
Suite 421
Levittown, NY 11756-1375
Phone
(516) 796-1500
Fax
(516) 579-1905
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2009

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

Authorized official

Name
Lynn Staudter
Title
Office Manager
Phone
(516) 796-1500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X 095557 NY Primary

Addresses

Primary practice location

3601 Hempstead Tpke
Suite 421
Levittown, NY 11756-1375

Mailing address

3601 Hempstead Tpke
Suite 421
Levittown, NY 11756-1375
Phone (516) 796-1500

Other identifiers 1

IdentifierTypeStateIssuer
CI0367OtherNYRAILROAD MEDICARE

National Provider Directory

National Provider Directory

Locations

3601 Hempstead Tpke
Levittown, NY 11756
Phone (516) 579-3050

3601 Hempstead Tpke
Ste 421
Levittown, NY 11756
Phone (516) 345-4180

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1255564800000",
    "number": "1720266356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE",
            "address_2": "SUITE 421",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561375",
            "telephone_number": "516-796-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 HEMPSTEAD TPKE",
            "address_2": "SUITE 421",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561375",
            "telephone_number": "516-796-1500",
            "fax_number": "516-579-1905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND ONCOLOGY HEMATOLOGY ASSOCIATES,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2009-10-15",
        "status": "A",
        "authorized_official_last_name": "STAUDTER",
        "authorized_official_first_name": "LYNN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "516-796-1500"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "095557",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CI0367",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; 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.