Island South Physical Medicine & Rehab, PC

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

198594 Issued in NY

Legal business name

ISLAND SOUTH PHYSICAL MEDICINE & REHAB, PC

Practice address

2570 Merrick Rd
Bellmore, NY 11710-5709

Phone

(516) 221-9640

Fax

(516) 221-6810

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jospeh George Gregorace, DO

Title

Medical Director

Phone

(516) 221-9640

Specialties & licenses 1

Addresses

Practitioners 1

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

• Joseph Gregorace, D.O.

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Bellmore, NY
  • NPI 1467504076
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851438758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 WHITNEY ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115901831",
            "telephone_number": "516-333-1452",
            "fax_number": "516-876-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 MERRICK RD",
            "city": "BELLMORE",
            "state": "NY",
            "postal_code": "117105709",
            "telephone_number": "516-221-9640",
            "fax_number": "516-221-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND SOUTH PHYSICAL MEDICINE & REHAB, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GREGORACE",
        "authorized_official_first_name": "JOSPEH",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-221-9640",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "NY",
            "license": "198594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judith A. Iannotta, MA, CCC/SLP
• Neveen Ibrahim
• Engela Ibrahimi
• Integrative 1 Medical PC
• Irise Wellness Collective LLC
• Island Wide Speech
• Island Wide Speech S.L.P. PLLC
• Antonio Narinedatt Iyarsami
• Evangelina Jacobson, LAC.
• Larissa Jarvis

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Bellmore, NY
• Providers in Bellmore, NY by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.