Island Medical Group, Pc
LBN: Island Medical Group, Pc
Island Medical Group, Pc is an health care organization with primary practice located at 4277 Hempstead Tpke Suite 209, Bethpage NY 11714-5709. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, Allopathic & Osteopathic Physicians / Gastroenterology, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty.
Island Medical Group, Pc can be contacted via phone (516) 731-7770, or through Brenner-Smith, Susan via phone (516) 731-7770.
Contact Information
Primary practice address
4277 Hempstead Tpke Suite 209
Bethpage NY 11714-5709
Phone: (516) 731-7770
Fax: (516) 731-7052
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | ||
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | ||
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | ||
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X |
Profile Details
| NPI number | 1285748749 |
|---|---|
| LBN Legal business name | Island Medical Group, Pc |
| DBA Doing business as | |
| Authorized official | Brenner-Smith, Susan |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 19th, 2006 |
| Last updated | Feb 4th, 2009 - about 16 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1285748749 | NPPES |
| New York | MEDICAID | 00100918 |
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