Organization Active NPI

Island Medical Wellness Rehabilitation PC

  • Sports Medicine (Physical Medicine & Rehabilitation) Physician
  • Woodbury, NY
National Provider Identifier
1932037678
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X
Legal business name
ISLAND MEDICAL WELLNESS REHABILITATION PC
Practice address
99 Sunnyside Blvd Ste 102
Woodbury, NY 11797-2946
Phone
(516) 496-4444
NPI assigned
May 12, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Authorized official

Name
Dr. Steven Soheil Moalemi, MD
Title
President
Phone
(917) 848-6528

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081S0010X Primary

Addresses

Primary practice location

99 Sunnyside Blvd Ste 102
Woodbury, NY 11797-2946

Mailing address

PO Box 234696
Great Neck, NY 11023-4696
Phone (516) 496-4444

National Provider Directory

National Provider Directory

Locations

99 Sunnyside Blvd
Ste 102
Woodbury, NY 11797
Phone (516) 496-4444

NPI Registry JSON

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

{
    "created_epoch": "1778544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778544000000",
    "number": "1932037678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 234696",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110234696",
            "telephone_number": "516-496-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 SUNNYSIDE BLVD STE 102",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117972946",
            "telephone_number": "516-496-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND MEDICAL WELLNESS REHABILITATION PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-12",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A",
        "authorized_official_last_name": "MOALEMI",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "SOHEIL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-848-6528",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.