Island Neuro Care, PC

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

209199 Issued in NY

Legal business name

ISLAND NEURO CARE, PC

Practice address

924 N Broadway Ste 2
Massapequa, NY 11758-2303

Phone

(516) 520-5507

Fax

(516) 520-5493

NPI assigned

Apr 25, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Birendra K Trivedi, M.D.NPI 1992750244

Title

Owner

Phone

(516) 520-5507

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

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 NPD Authorized official
• Padmaja Aradhya, MD

  • Neurology Physician
  • Massapequa, NY
  • NPI 1427022391
  Medicare reassignment NPD

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

{
    "created_epoch": "1209081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1821263229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4230 HEMPSTEAD TPKE",
            "address_2": "SUITE 106",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117145700",
            "telephone_number": "516-520-5507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 N BROADWAY STE 2",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117582303",
            "telephone_number": "516-520-5507",
            "fax_number": "516-520-5493"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4230 Hempstead Tpke",
            "address_2": "Suite 106",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117145700",
            "country_code": "US",
            "telephone_number": "516-520-5507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ISLAND NEURO CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-25",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "TRIVEDI",
        "authorized_official_first_name": "BIRENDRA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-520-5507",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "209199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• Neurology Physician in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Neurology Physician 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.