ISLAND ENDOSCOPY CENTER LLC (NPI# 1598905317) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598905317 |
| Entity Type | Organization |
| Organization Name | ISLAND ENDOSCOPY CENTER LLC |
| Practice Address |
1175 Montauk Hwy West Islip NY 11795-4939 |
| Mailing Address |
1175 Montauk Hwy Suite 1 West Islip NY 11795-4939 |
| Practice Telephone | 6314821652 |
| Practice Fax Number | 6314821656 |
| Mailing Telephone | 6314821652 |
| Mailing Fax Number | 6314821656 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2010-06-07 |
| Authorized Official Name | MS. NORA VIOLA (ADMINISTRATOR) |
| Authorized Official Telephone | 6314821652 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0800X |
Clinic/Center Specialization: Endoscopy |
Ambulatory Health Care Facilities | ||
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1175 MONTAUK HWY |
| City | WEST ISLIP |
| State | NY |
| Zip Code | 11795-4939 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154309037 | Rajkumar G Mariwalla | Internal Medicine | 1175 Montauk Hwy, Suite #3, West Islip, NY 11795-4939 | 2006-01-02 |
| 1669014197 | Amit Sharma Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-10-16 |
| 1811548142 | Eric Fanaee Md PC | Pain Medicine | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2019-09-27 |
| 1609423821 | Kelly Heraghty | Nurse Practitioner | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2019-08-22 |
| 1669943510 | Carolann Sutherland | Physician Assistant | 1175 Montauk Hwy, West Islip, NY 11795-4939 | 2018-12-17 |
| 1841717618 | George Kakoulides Md PC | Neurological Surgery | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795 | 2017-08-23 |
| 1457741035 | Rajesh Mariwalla, Md PC | Pediatrics | 1175 Montauk Hwy, Suite 4, West Islip, NY 11795-4939 | 2015-02-03 |
| 1346656105 | Long Island Neurosurgical & Pain Specialists, Pllc | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2014-07-01 |
| 1972914596 | Nassau-suffolk Medical Services, P.C. | Anesthesiology | 1175 Montauk Hwy, Suite 6, West Islip, NY 11795-4939 | 2014-05-16 |
| 1922399757 | Eujenia Momchilova Darakchieva | Physician Assistant | 1175 Montauk Hwy, Suite 3, West Islip, NY 11795-4939 | 2011-04-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790843 | Aparna Kaleeckal Rajalakshmi | Student in an Organized Health Care Education/Training Program | 1000 Montauk Highway, Good Samaritan Hospital Medical C, Attention Stephanie Rodriguez, Graduate Medical Educati, West Islip, NY 11795 | 2020-04-28 |
| 1164087375 | South Shore Medical Services Pllc | Physician Assistant | 1175 Montauk Kwy, Suite 6, West Islip, NY 11795 | 2019-05-02 |
| 1841656030 | Asnis Dental Pllc | Dentist | 440 Montauk Highway, West Islip, NY 11795 | 2016-01-05 |
| 1376913731 | Erik Walter | Physician Assistant | 434 Union Blvd, West Islip, NY 11795 | 2015-09-29 |
| 1902202302 | Cathleen Degarmo | Specialist | 524 Everdell Ave, West Islip, NY 11795 | 2014-11-12 |
| 1902201098 | Caitlin Henderson | Nurse Practitioner | 500 Montauk Highway Suite W, Sarah Schwartz Md Pllc, West Islip, NY 11795 | 2014-10-31 |
| 1497182752 | Alyssa C Cervini | Social Worker | 145 Higbie Ln, West Islip, NY 11795 | 2013-10-02 |
| 1174966485 | John George Egner | Specialist | 1 Kennedylane, W Islip, NY 11795 | 2013-04-17 |
| 1902155369 | Timothy George M.d., P.C. | Pediatrics | 239 Higbie Lane, West Islip, NY 11795 | 2012-08-31 |
| 1124387824 | Dawn Marie Coughlin | Speech-Language Pathologist | 50 Cedar Point Drive, West Islip, NY 11795 | 2012-05-15 |
| Find all providers in zip 11795 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891049441 | Island Digestive Health Center, LLC | Clinic/Center | 471 Montauk Hwy, West Islip, NY 11795-4414 | 2012-11-05 |
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| 1700486511 | Park Avenue Ambulatory Center LLC | Clinic/Center | 737 Park Ave Frnt 1b, New York, NY 10021-4248 | 2020-10-30 |
| 1083220123 | Queens Surgical Center LLC | Clinic/Center | 3636 Main St Ste 1s, Flushing, NY 11354-6517 | 2020-09-22 |
| 1083230833 | Surgicare of Westside, LLC | Clinic/Center | 438 W 51st St Fl 5, New York, NY 10019-6503 | 2020-06-17 |
| 1780206292 | Greece Asc, LLC | Clinic/Center | 135 Canal Landing Blvd, Rochester, NY 14626-5104 | 2020-05-07 |
| 1679108914 | Precision Sc, LLC | Clinic/Center | 28 Research Way, East Setauket, NY 11733-3453 | 2020-03-06 |
| 1043845340 | Northeast Endoscopy LLC | Clinic/Center | 235 N Belle Mead Ave, East Setauket, NY 11733-3456 | 2020-03-06 |
| 1295365864 | North Fork Surgery Center LLC | Clinic/Center | 700 Boisseau Ave, Southold, NY 11971 | 2020-01-22 |
| 1083262539 | Uptown Surgical Services P.c | Clinic/Center | 111 East 71st Street, New York, NY 10021 | 2019-08-28 |
| 1154973071 | Albany Med Niskayuna Ambulatory Endoscopy and Surgery Center | Clinic/Center | 1769 Union Street, 3rd Floor, Niskayana, NY 12309 | 2019-07-11 |
| 1922666940 | Gpddc, LLC | Clinic/Center | 2 Bennett Ave Fl 2, New York, NY 10033-2148 | 2019-06-04 |
| Find all providers with the same taxonomy | ||||
| City | WEST ISLIP |
| Zip Code | 11795 |
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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.