Island Ambulatory Anesthesia Associates

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

ISLAND AMBULATORY ANESTHESIA ASSOCIATES

Practice address

761 Middle Country Rd
Selden, NY 11784-2502

Phone

(631) 736-4064

Fax

(631) 736-1332

NPI assigned

Apr 5, 2012

Last updated

Apr 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rodolfo Domingo, MD

Title

Partner

Phone

(631) 736-4064

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1992061873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "761 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842502",
            "telephone_number": "631-736-4064",
            "fax_number": "631-736-1332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 MIDDLE COUNTRY RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "117842502",
            "telephone_number": "631-736-4064",
            "fax_number": "631-736-1332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISLAND AMBULATORY ANESTHESIA ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "DOMINGO",
        "authorized_official_first_name": "RODOLFO",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "631-736-4064",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Hordt, RN
• Linda Elise Hortananian
• Marialena R Iannolo
• Internal Medicine Associates, PC
• Christine Irving, RN
• Island Ambulatory Anesthesia Associates LLC
• Island Musculoskeletal Care, M.D., P.C.
• Hatem M Jaber
• Diana Rachel Jacob, PHARM.D
• Djenanne Beatrice Jean-Fontaine, RN

• Anesthesiology Physician in Selden, NY
• Providers in Selden, NY by specialty
• Anesthesiology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; 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.