Organization Active NPI

Island Medical Services PC

  • Obstetrics & Gynecology Physician
  • Islip, NY
National Provider Identifier
1962734392
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
143070 Issued in NY
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

Updated by the provider on Feb 10, 2010

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

Authorized official

Name
Jung Oh, MDNPI 1093736860
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)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A64215OtherNYMC UPIN DR OH

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.