ISLAND MUSCULOSKELETAL CARE, M.D., P.C. (NPI# 1396857660) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396857660 |
| Entity Type | Organization |
| Organization Name | ISLAND MUSCULOSKELETAL CARE, M.D., P.C. |
| Practice Address |
2799 Route 112 Ste 5 Medford NY 11763-2535 |
| Mailing Address |
Po Box 360 Hewlett NY 11557-0360 |
| Practice Telephone | 6314471710 |
| Practice Fax Number | 6314473807 |
| Mailing Telephone | 5163746838 |
| Mailing Fax Number | 5163746838 |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. BARRY D JUPITER (PRESIDENT) |
| Authorized Official Telephone | 5163746838 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 111N00000X | Chiropractor | NY | Chiropractic Providers | |
| X | 207X00000X | Orthopaedic Surgery | NY | Allopathic & Osteopathic Physicians | |
| X | 208100000X | Physical Medicine & Rehabilitation | NY | Allopathic & Osteopathic Physicians | |
| X | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
NY | Allopathic & Osteopathic Physicians | |
| X | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
NY | Allopathic & Osteopathic Physicians | |
| X | 225100000X | Physical Therapist | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942303839 | Island Musculoskeletal Care, M.d., P.C. | Chiropractor | 10907 Jamaica Ave, Richmond Hill, NY 11418-2338 | 2006-09-06 |
| 1235241670 | Island Musculoskeletal Care, M.d., P.C. | Chiropractor | 105 Medford Ave, Patchogue, NY 11772-1201 | 2006-08-31 |
| 1447362793 | Island Musculoskeletal Care, M.d., P.C. | Chiropractor | 20 Grand Ave Ste A, Shirley, NY 11967-2003 | 2006-08-31 |
| 1134231566 | Island Musculoskeletal Care, M.d., P.C. | Chiropractor | 2475 Eastchester Rd, Bronx, NY 10469-5915 | 2006-08-31 |
| 1609099027 | Island Musculoskeletal Care, M.d., P.C. | Chiropractor | 243 Boyle Rd, Selden, NY 11784-1929 | 2007-04-11 |
| 1497867899 | Island Musculoskeletal Care, M.d., P.C. | Chiropractor | 125 Franklin Ave, Valley Stream, NY 11580-2165 | 2006-08-31 |
| 1053423517 | Island Musculoskeletal Care, M.d., P.C. | Chiropractor | 2569 Ocean Ave, Brooklyn, NY 11229-4513 | 2006-08-31 |
| Street Address |
2799 ROUTE 112 STE 5 |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164872669 | Illari Physcial Therapy P.C. | Clinic/Center | 2799 Route 112 Ste 5, Medford, NY 11763-2535 | 2016-06-15 |
| 1962709378 | Dr. Todd Goldman Chiropractor PC | Chiropractor | 2799 Route 112 Ste 5, Medford, NY 11763-2535 | 2011-02-21 |
| 1609942630 | Todd Russell Goldman | Chiropractor | 2799 Route 112 Ste 5, Medford, NY 11763-2535 | 2006-11-28 |
| 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 Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033620687 | Steve Issac Santoni | Chiropractor | 4149 S Pacific Hwy Ste 434, Medford, OR 97501-9104 | 2017-10-22 |
| 1568984714 | Trisha Anne Sileo | Chiropractor | 99 Taunton Rd # 101, Medford, NJ 08055-9362 | 2017-07-10 |
| 1366824450 | Johann L. Towne | Chiropractor | 945 Town Centre Dr Ste C, Medford, OR 97504-6190 | 2015-06-24 |
| 1073934204 | Degre Chiropractic LLC | Chiropractor | 92 High St Ste Dh32, Medford, MA 02155-3843 | 2013-12-13 |
| 1023445327 | Corey O'neill | Chiropractor | 943 Automation Way, A1, Medford, OR 97504-4192 | 2013-10-01 |
| 1376888941 | Mlm Chiropractic, LLC | Chiropractor | 133-b Jackson Rd, Medford, NJ 08055 | 2012-12-07 |
| 1912241092 | 495 Chiropractic, PC | Chiropractor | 570 Expressway Dr S, Suite 2c, Medford, NY 11763-2049 | 2012-11-15 |
| 1003188509 | Samuel Robert Klinner | Chiropractor | 115 E Perkins St, Medford, WI 54451-1852 | 2012-01-31 |
| 1285869040 | Mc Chiropractic | Chiropractor | 1550 Biddle Rd, Ste. D, Medford, OR 97504-4691 | 2009-05-22 |
| 1992981450 | Anthony Francis Micucci | Chiropractor | 170 Kettles Ln, Medford, NY 11763-1552 | 2008-01-15 |
| Find all providers in MEDFORD | ||||
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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.