SOUTH ISLAND PEDIATRICS, N.Y.C., P.C. (NPI# 1427113075) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427113075 |
| Entity Type | Organization |
| Organization Name | SOUTH ISLAND PEDIATRICS, N.Y.C., P.C. |
| Practice Address |
86 Carman Ave Cedarhurst NY 11516-1905 |
| Mailing Address |
Po Box 340 Woodmere NY 11598-0340 |
| Practice Telephone | 5165690500 |
| Practice Fax Number | 5165690570 |
| Mailing Telephone | 5165690500 |
| Mailing Fax Number | 5165690570 |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. MITCHELL I WEILER (PRESIDENT) |
| Authorized Official Telephone | 5165690500 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 148634 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 00890588 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| New York State Corporations | SOUTH ISLAND PEDIATRICS, N.Y.C., P.C. | 86 Carman Ave, Cedarhurst, Ny 11516 |
| Street Address |
86 CARMAN AVE |
| City | CEDARHURST |
| State | NY |
| Zip Code | 11516-1905 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326046780 | Mitchell I. Weiler | Pediatrics | 86 Carman Ave, Cedarhurst, NY 11516-1905 | 2005-07-11 |
| 1639233307 | South Island Pediatrics, P.C. | Clinic/Center | 86 Carman Ave, Cedarhurst, NY 11516-1905 | 2006-12-20 |
| 1245306554 | Nancy Chiang | Pediatrics | 86 Carman Ave, Cedarhurst, NY 11516-1905 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962003509 | Gs Medical, P.C. | Surgery | 377-b Pearsall Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1013518638 | Well Med Medical PC | Internal Medicine | 140a Washington Ave, Cedarhurst, NY 11516 | 2020-11-02 |
| 1336648252 | Daniel M Horowitz | Physical Therapist | 673 Park Lane, Cedarhurst, NY 11516 | 2018-02-06 |
| 1558757203 | Fraidy Horwitz | Dietitian, Registered | 527 Central Place, Cedarhurst, NY 11516 | 2015-04-09 |
| 1760800668 | Spruce Rx, Inc. | Pharmacy | 127a Spruce Street, Cedarhurst, NY 11516 | 2014-03-29 |
| 1578907358 | Rebecca Twerski Ganz | Psychologist | 528 Willow Ave, Cedarhurst, NY 11516 | 2013-04-23 |
| 1235472770 | Karim A. Badawy | Podiatrist | 551 Central Ave Suite 21a, Cedarhusrt, NY 11516 | 2013-04-03 |
| 1043592959 | Nicole T Hamburger | Speech-Language Pathologist | 611 Carlylye St, Cedarhurst, NY 11516 | 2011-09-16 |
| 1407153489 | Wendy Joy Grand | Social Worker | 2 Reilly Rd, Lawrence High School, Cedarhurst, NY 11516 | 2011-02-28 |
| 1518269976 | Susan Zora Gottlieb | Speech-Language Pathologist | 445 Central Ave, Suite 111, Cedarhurst, NY 11516 | 2010-11-17 |
| Find all providers in zip 11516 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689950164 | Premier Diagnostics LLC | Clinic/Center | 395 Pearsall Ave, Cedarhurst, NY 11516-1828 | 2011-10-27 |
| 1114262508 | Balance Diagnostics Usa LLC | Clinic/Center | 395 Pearsall Ave, Unit D, Cedarhurst, NY 11516-1828 | 2012-12-11 |
| 1639233307 | South Island Pediatrics, P.C. | Clinic/Center | 86 Carman Ave, Cedarhurst, NY 11516-1905 | 2006-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942411 | Medical Offices of Occupational Health Resources P C | Clinic/Center | 240 Airport Rd, White Plains, NY 10604-1315 | 2020-11-05 |
| 1649884537 | Bridge To Care Nurse Practitioner In Psychiatry PC | Clinic/Center | 3005 Church Ave, Brooklyn, NY 11226-4209 | 2020-09-08 |
| 1093328890 | Philomene Goueliani Phd | Clinic/Center | 1461 E 103rd St, Brooklyn, NY 11236-4513 | 2020-08-31 |
| 1801409792 | Lori Davis, Np In Family Health Pllc | Clinic/Center | 317 N Aurora St Ste 200a, Ithaca, NY 14850-4201 | 2020-08-28 |
| 1679190326 | Payless Staffing and Consultants | Clinic/Center | 1332 Commerce Ave Frnt 3, Bronx, NY 10461-3612 | 2020-06-29 |
| 1487279238 | Nss Medical Services, Pllc | Clinic/Center | 322 Linden Blvd., Ground Floor, Brooklyn, NY 11226 | 2020-06-08 |
| 1275157000 | Provident Health Partners Inc. | Clinic/Center | 1529 N Ocean Ave Ste A, Medford, NY 11763-3587 | 2020-06-08 |
| 1922635218 | Proficient Rehab Care Pt Pllc | Clinic/Center | 121 Winham Ave, Staten Island, NY 10306-4930 | 2020-03-25 |
| 1104451525 | Dr Paul Poulakos Do, LLC | Clinic/Center | 186 9th Ave Apt 4f, New York, NY 10011-4918 | 2020-03-05 |
| 1538793732 | Yi Zhang Medical Wellness Pllc | Clinic/Center | 3815 Corporal Stone St Fl 2, Bayside, NY 11361-2140 | 2020-02-26 |
| Find all providers with the same taxonomy | ||||
| City | CEDARHURST |
| Zip Code | 11516 |
Please comment or provide details below to improve the information on SOUTH ISLAND PEDIATRICS, N.Y.C., P.C..
| 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.