Islandwide DSH Services Inc.

Primary specialty

Pulmonary Rehabilitation Registered Respiratory TherapistTaxonomy code 2279P1005X

Legal business name

ISLANDWIDE DSH SERVICES INC.

Practice address

389 Fort Salonga Rd
Suite 3
Northport, NY 11768-3044

Phone

(516) 672-0998

NPI assigned

Jul 20, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Mountaser Khalifa

Title

President

Phone

(516) 672-0998

Specialties & licenses 8

Addresses

Other names 1

• Quality Life Fitness Doing business as

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

{
    "created_epoch": "1437350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437350400000",
    "number": "1780068700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HIGH HEDGES CT",
            "city": "SAINT JAMES",
            "state": "NY",
            "postal_code": "117801409",
            "telephone_number": "516-672-0998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 FORT SALONGA RD",
            "address_2": "SUITE 3",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117683044",
            "telephone_number": "516-672-0998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLANDWIDE DSH SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-20",
        "last_updated": "2015-07-20",
        "status": "A",
        "authorized_official_last_name": "KHALIFA",
        "authorized_official_first_name": "MOUNTASER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-672-0998",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2278P1004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Certified, Pulmonary Diagnostics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "227900000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279E1000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Educational",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279G1100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, General Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2279P1005X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2279P1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Respiratory Therapist, Registered, Pulmonary Function Technologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quality Life Fitness",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Erin Mary Imbasciani, DPT
• Joan Innes, NP
• Integrated Medical Professionals PLLC
• April B. Intrabartola-Murray
• Humaira Ambreen Iqbal, MD
• Gloria A. Ivany, NP
• Diala A Jaber, M.D.
• Virginia Anne Jacoby, RPH
• Doris Jaime
• Karen Stephanie James, M.D.

• Registered Respiratory Therapist in Northport, NY
• Providers in Northport, NY by specialty
• Registered Respiratory Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2015; 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.