Island Medical Office PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ISLAND MEDICAL OFFICE PC

Practice address

4160 Merrick Rd Ste 2
Massapequa, NY 11758-6027

Phone

(516) 590-7410

NPI assigned

Oct 30, 2014

Organization subpart

No

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

Authorized official

Name

Robert N Prichep, MD

Title

Owner

Phone

(516) 590-7410

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1657670400000",
    "number": "1881099042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 MERRICK RD STE 2",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586027",
            "telephone_number": "516-590-7410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 MERRICK RD STE 2",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586027",
            "telephone_number": "516-590-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL OFFICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2022-07-13",
        "certification_date": "2022-07-13",
        "status": "A",
        "authorized_official_last_name": "PRICHEP",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-590-7410",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sabrina Islam, LMSW
• Island Chiropractic Wellness P.C.
• Island Diagnostic Imaging Associates
• Island Family Medicine PC
• Island Lighthouse Consultation Services, NP in Psychiatry, P.C.
• Island Neuro Care, PC
• Island Neurological Therapy, P.C.
• Island Orthopaedics & Sports Medicine PC
• Island Primary Medical Care Associates PC
• Island Wide Medical Care PLLC

• Physical Medicine & Rehabilitation Physician in Massapequa, NY
• Providers in Massapequa, 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 Jul 13, 2022; 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.