ISLAND MEDICAL OF MEDFORD, LLP


Address: 1647 Route 112, Medford, NY 11763-3635
Phone: 6317582220

ISLAND MEDICAL OF MEDFORD, LLP (NPI# 1316160658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316160658
Entity Type Organization
Organization Name ISLAND MEDICAL OF MEDFORD, LLP
Practice Address 1647 Route 112
Medford
NY 11763-3635
Practice Telephone 6317582220
Practice Fax Number 6317588355
Mailing Telephone 6317582220
Mailing Fax Number 6317588355
Enumeration Date 2007-04-11
Last Update Date 2020-08-22
Authorized Official Name LISSETTE CEPEDA (OFFICE MANAGER)
Authorized Official Telephone 6317582220
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine 143200 NY Allopathic & Osteopathic Physicians

Office Location

Street Address 1647 ROUTE 112
City MEDFORD
State NY
Zip Code 11763-3635

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497082085 April Bordges Physician Assistant 1647 Route 112, Medford, NY 11763-3635 2009-11-03

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316572027 Rebecca Molino Specialist 9, 3251 Ny-112 #2, Medford, NY 11763 2020-03-03
1295203677 Hajar Taman Pharmacist 2975 Horseblock Road, Medford, NY 11763 2018-11-05
1265917041 Bay Taxi Inc Taxi 36/94 Horseblock Rd, Medford, NY 11763 2018-09-27
1184108383 Bay Taxi Inc Taxi 36/94 Horsblock Road, Medford, NY 11763 2018-09-24
1215419650 Megan Bell Speech-Language Pathologist 135 Buffalo Avenue, Medford, NY 11763 2018-09-01
1922592906 Elizabeth L Oakley Specialist 1 Sprat St, Medford, NY 11763 2018-06-21
1609383389 Federation of Organizations for The New York State Mentally Disabled Clinic/Center 3390 Route 112 Ste B, Medford, NY 11763 2018-01-04
1497109607 Tabitha Aitken Massage Therapist 28 Masem Ct, Medford, NY 11763 2016-04-14
1518326685 Betty Velez Specialist 21 Red Pine Rd, Medford, NY 11763 2016-02-18
1134527054 Angelo L D'esposito Social Worker 77 Robinson Ave, Medford, NY 11763 2014-12-09
Find all providers in zip 11763

Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346847332 Jasmine Barnhart Family Medicine 1935 Canyon Ave, Medford, OR 97504-2128 2020-10-03
1831742667 Mallory Marie Morton Family Medicine 429 Main St # 3, Medford, MA 02155-6571 2019-07-21
1841619418 Andrew Thomas Gomez Family Medicine 131 Rte 70 W, Ste 100, Medford, NJ 08055 2014-04-10
1992140313 Stephanie Guido Family Medicine 128 Route 70 Ste Aandb, Medford, NJ 08055-2371 2013-04-30
1316214281 Carl Russell Griesser Family Medicine 555 Black Oak Drive, Suite 100, Medford Medical Clinic, Medford, OR 97504 2011-11-21
1649591223 Wesley T Ramoso Family Medicine 3225 Hillcrest Park Dr, Medford, OR 97504-7657 2010-06-17
1891945812 Amy Holmes Medical Services Plc Family Medicine 102 E Cherokee, Medford, OK 73759-1210 2008-09-26
1972793370 Sowmya Reddy Thadisina Family Medicine 101 Main St Ste 214, Medford, MA 02155-4530 2007-07-31
1689890667 James K Robinson II Family Medicine W5238 Jolly Ave, Medford, WI 54451-9303 2007-04-18
1518088376 Helen Trew Family Medicine 2921 Doctors Park Dr, Medford, OR 97504-8127 2007-04-02
Find all providers in MEDFORD

Competitor

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City MEDFORD
Zip Code 11763

Improve Information

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Dataset Information

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.

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