Active NPI
Island Surgical Practice PC
- Surgery Physician
- Valley Stream, NY
National Provider Identifier
1972656437
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
- 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
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
210 E Sunrise Hwy
Ste 303
Valley Stream, NY 11581
Phone (516) 568-9119
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.