Eastern Island Medical Care PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

EASTERN ISLAND MEDICAL CARE PC

Practice address

439 William Floyd Pkwy
Shirley, NY 11967-3466

Phone

(631) 395-3100

Fax

(631) 395-3101

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Scott A Roteman, MD

Title

Medical Director

Phone

(631) 395-3100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1871611269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "439 WILLIAM FLOYD PKWY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673466",
            "telephone_number": "631-395-3100",
            "fax_number": "631-395-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "439 WILLIAM FLOYD PKWY",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673466",
            "telephone_number": "631-395-3100",
            "fax_number": "631-395-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN ISLAND MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "ROTEMAN",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "631-395-3100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Duffy, MD
• Dummuzi Christopher Duhaney, LMSW
• Tara Dunn
• Liliya Dyakiv, PTA
• David Randall Dynof, MD
• Kimberly Edwards
• Tracy L Egger, LCSW
• Noha Aladdin Elfar, OTR/L
• Debbie-Ann Katheen Ellington-Tulloch, APRN
• Ebenezer Enin, RN

• Physical Medicine & Rehabilitation Physician in Shirley, NY
• Providers in Shirley, NY by specialty
• Physical Medicine & Rehabilitation Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; 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.