MID ISLAND MEDICAL PC (NPI# 1356830954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356830954 |
| Entity Type | Organization |
| Organization Name | MID ISLAND MEDICAL PC |
| Practice Address |
285 Sills Rd East Patchogue NY 11772-4869 |
| Practice Telephone | 6316189030 |
| Mailing Telephone | 6316189030 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | MUSARRAT IQBAL (PHYSICIAN) |
| Authorized Official Telephone | 6316189030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP3300X |
Clinic/Center Specialization: Pain |
234347 | NY | Ambulatory Health Care Facilities |
| Street Address |
285 SILLS RD |
| City | EAST PATCHOGUE |
| State | NY |
| Zip Code | 11772-4869 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395628 | Michael Fried | Specialist | 285 Sills Rd, Bldg 16, East Patchogue, NY 11772-4808 | 2005-06-09 |
| 1578121901 | Sweta Shah | Dietitian, Registered | 285 Sills Rd, East Patchogue, NY 11772-4869 | 2019-05-31 |
| 1710474515 | R.e.m Technologies Inc | Prosthetic/Orthotic Supplier | 285 Sills Rd, Bldg 2 Ste B, East Patchogue, NY 11772-4869 | 2018-04-17 |
| 1053818153 | William James Friedel Dds P.C. | Dentist | 285 Sills Rd, Building 2 Suite A, East Patchogue, NY 11772-4869 | 2018-04-06 |
| 1770024275 | Gay Roselle Comillas | Clinical Nurse Specialist | 285 Sills Rd, Bldg. 7 Suite B, East Patchogue, NY 11772-4869 | 2017-03-16 |
| 1538618426 | Eileen Suydam Oster | Occupational Therapist | 285 Sills Rd, Building Number, 18, Suite B, East Patchogue, NY 11772-4869 | 2016-10-03 |
| 1053764845 | Craig Heffron | Audiologist | 285 Sills Rd, Building 10, Suite A, East Patchogue, NY 11772-4869 | 2016-07-18 |
| 1043663909 | Ny Dme Consultants LLC | Prosthetic/Orthotic Supplier | 285 Sills Rd, Bldg 4 Ste B, East Patchogue, NY 11772-4869 | 2016-07-15 |
| 1225408321 | Winthrop Community Medical Affiliates PC | Internal Medicine | 285 Sills Rd, Building 14, East Patchogue, NY 11772-4869 | 2015-10-01 |
| 1093105645 | Professional Care Physical Therapy and Rehabilitation | Rehabilitation Unit | 285 Sills Rd, Building 10 Suite D, East Patchogue, NY 11772-4869 | 2015-02-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205447224 | Amita Vipul Patel | Nurse Practitioner | Longlsland Community Hospital, 101 Hospital Rd, Patchogue, NY 11772 | 2020-08-13 |
| 1609491968 | Sanjib Dey | Family Medicine | Brookhaven Nephrology Associates, 260 E. Patchogue-yaphank Rd., Patchogue, NY 11772 | 2020-06-12 |
| 1992297204 | Camila Bueno-sanchez | Student in an Organized Health Care Education/Training Program | 676 S Country Rd, East Patchogue, NY 11772 | 2018-06-01 |
| 1184115859 | Premier Endodontics of Patchogue | Dentist | 44 Medford Avenue, Patchogue, NY 11772 | 2018-05-29 |
| 1801386453 | Franklin Ikechukwu Ugbode | Student in an Organized Health Care Education/Training Program | 100 Hospital Road Suite 201, Patchogue, NY 11772 | 2018-05-18 |
| 1508372335 | Stephanie Vanschaick | Counselor | 450 Waverly Ave Ste 11, Patchogue, NY 11772 | 2017-12-15 |
| 1578074498 | Chrystal Lee Curran | Specialist | 1116 Main Road, Aquebogue, NY 11772 | 2017-10-18 |
| 1013457712 | Candyce Fahner | Registered Nurse | 22 Haig Ave, E Patchogue, NY 11772 | 2017-02-28 |
| 1992251631 | Vanessa Lynn Petoello | Nurse Practitioner | 107 N/ Ocean Ave, Suite G, Patchogue, NY 11772 | 2016-09-01 |
| 1811343809 | Andrew Vanderlofske | Nurse Practitioner | 144 North Ocean Avenue, Patchogue, NY 11772 | 2016-05-09 |
| Find all providers in zip 11772 | ||||
| Taxonomy Code | 261QP3300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Pain |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528221 | Cmf Care Inc | Clinic/Center | 118 Baxter St Ste 206, New York, NY 10013-3675 | 2020-11-04 |
| 1154931335 | Integrity Medical Pllc | Clinic/Center | 58 Commack Rd, Commack, NY 11725-3402 | 2020-08-03 |
| 1699239715 | Mk Spine and Joint Rehab, P.C. | Clinic/Center | 27 Vanderbilt Pkwy, Dix Hills, NY 11746-5815 | 2019-01-23 |
| 1245700111 | Pranevicius Medical P.C. | Clinic/Center | 300 Albany St Apt 6e, New York, NY 10280-1452 | 2018-12-04 |
| 1154801033 | Paradigm Family Health Np Pllc | Clinic/Center | 40 Gardenville Pkwy Ste 101, West Seneca, NY 14224-1387 | 2018-08-20 |
| 1164918835 | Integrated Interventional Pain Management PC | Clinic/Center | 20712 Northern Blvd Ste 3, Bayside, NY 11361-3108 | 2018-07-06 |
| 1912433186 | Pain Management Acupuncture | Clinic/Center | 135 Sullys Trl Ste 3, Pittsford, NY 14534-4564 | 2017-05-10 |
| 1376086777 | Quick Docs Medical, Pllc | Clinic/Center | 1975 Flatbush Ave, Brooklyn, NY 11234-2811 | 2016-12-02 |
| 1356891766 | Centurion Pain Management | Clinic/Center | 601 W 163rd St, New York, NY 10032-5632 | 2016-10-10 |
| 1588044697 | Jodi M Gentili | Clinic/Center | 301 Vanderbilt Ave, Apt 2, Brooklyn, NY 11205-3604 | 2015-06-03 |
| Find all providers with the same taxonomy | ||||
| City | EAST PATCHOGUE |
| Zip Code | 11772 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.