Active NPI
Island Medical Services PC
- Obstetrics & Gynecology Physician
- Islip, NY
National Provider Identifier
1962734392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 143070
- Legal business name
- ISLAND MEDICAL SERVICES PC
- Practice address
- 2330 Union Blvd
Suite 1
Islip, NY 11751-3172 - Phone
- (631) 224-4811
- NPI assigned
- Feb 10, 2010
- 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
- Jung Oh, MD
- Title
- Owner
- Phone
- (631) 224-4811
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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 143070 | NY | Primary |
Addresses
Primary practice location
2330 Union Blvd
Suite 1
Islip, NY 11751-3172
Mailing address
2330 Union Blvd
Suite 1
Islip, NY 11751-3172
Phone (631) 224-4811
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A64215 | Other | NY | MC UPIN DR OH |
National Provider Directory
National Provider DirectoryLocations
2330 Union Blvd
Ste 1
Islip, NY 11751
Phone (631) 224-4811
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gynecology Physician
- Islip, NY
- NPI 1093736860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265760000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1265760000000",
"number": "1962734392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2330 UNION BLVD",
"address_2": "SUITE 1",
"city": "ISLIP",
"state": "NY",
"postal_code": "117513172",
"telephone_number": "631-224-4811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2330 UNION BLVD",
"address_2": "SUITE 1",
"city": "ISLIP",
"state": "NY",
"postal_code": "117513172",
"telephone_number": "631-224-4811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND MEDICAL SERVICES PC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-10",
"last_updated": "2010-02-10",
"status": "A",
"authorized_official_last_name": "OH",
"authorized_official_first_name": "JUNG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "631-224-4811",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "143070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MC UPIN DR OH",
"identifier": "A64215",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Islip, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.