Organization Active NPI

Island Surgical Practice PC

  • Surgery Physician
  • Valley Stream, NY
National Provider Identifier
1972656437
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
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

Updated by the provider on Dec 6, 2010

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.