Active NPI
New Island Pharmacy Inc.
- Long Term Care Pharmacy
- Deer Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Long Term Care Pharmacy
- Legal business name
- NEW ISLAND PHARMACY INC.
- Practice address
- 1912 Deer Park Ave Ste a
Deer Park, NY 11729-3332 - Phone
- (631) 392-4800
- Fax
- (631) 392-4801
- NPI assigned
- Jul 29, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nidhin Mohan
- Title
- President
- Phone
- (631) 392-4800
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Long Term Care Pharmacy | 3336L0003X | Primary |
Addresses
Primary practice location
1912 Deer Park Ave Ste a
Deer Park, NY 11729-3332
Mailing address
1912 Deer Park Ave Ste a
Deer Park, NY 11729-3332
Phone (631) 392-4800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3524265 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- New Island Pharmacy Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Retail Pharmacy
- Deer Park, NY
- NPI 1205181609
Locations
1912 Deer Park Ave
Ste A
Deer Park, NY 11729
Phone (631) 392-4800
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pharmacist
- Islip Terrace, NY
- NPI 1215190046
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1753747200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753747200000",
"number": "1831072669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1912 DEER PARK AVE STE A",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293332",
"telephone_number": "631-392-4800",
"fax_number": "631-392-4801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1912 DEER PARK AVE STE A",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117293332",
"telephone_number": "631-392-4800",
"fax_number": "631-392-4801"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW ISLAND PHARMACY INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-07-29",
"last_updated": "2025-07-29",
"certification_date": "2025-07-29",
"status": "A",
"authorized_official_last_name": "MOHAN",
"authorized_official_first_name": "NIDHIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-392-4800"
},
"taxonomies": [
{
"code": "3336L0003X",
"taxonomy_group": "",
"desc": "Pharmacy, Long Term Care Pharmacy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3524265",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.