Active NPI
Island Surgical Practice PC
- Surgery Physician
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ISLAND SURGICAL PRACTICE PC
- Practice address
- 210 E Sunrise Hwy
Suite 303
Valley Stream, NY 11581-1329 - Phone
- (516) 568-9119
- Fax
- (516) 568-9800
- NPI assigned
- Jan 19, 2007
- Last updated
- Dec 6, 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
- Dr. Devendra B Brahmbhatt, MD
- Title
- Presedent
- Phone
- (516) 568-9119
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
210 E Sunrise Hwy
Suite 303
Valley Stream, NY 11581-1329
Mailing address
446 Hungry Harbor Rd
Valley Stream, NY 11581-3645
Phone (516) 568-9119
National Provider Directory
National Provider DirectoryLocations
9413 Flatlands Ave
Ste 102
Brooklyn, NY 11236
Phone (718) 345-2299
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Vascular Surgery Physician
- Valley Stream, NY
- NPI 1225085335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291593600000",
"number": "1972656437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 HUNGRY HARBOR RD",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115813645",
"telephone_number": "516-568-9119",
"fax_number": "516-568-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 E SUNRISE HWY",
"address_2": "SUITE 303",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115811329",
"telephone_number": "516-568-9119",
"fax_number": "516-568-9800"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ISLAND SURGICAL PRACTICE PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-19",
"last_updated": "2010-12-06",
"status": "A",
"authorized_official_last_name": "BRAHMBHATT",
"authorized_official_first_name": "DEVENDRA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESEDENT",
"authorized_official_telephone_number": "516-568-9119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.