ISLAND PHYSICIAN SERVICES, PLLC (NPI# 1669738746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669738746 |
| Entity Type | Organization |
| Organization Name | ISLAND PHYSICIAN SERVICES, PLLC |
| Practice Address |
2000 N Village Ave Suite 109 Rockville Centre NY 11570-1078 |
| Practice Telephone | 5166784000 |
| Practice Fax Number | 5166789573 |
| Mailing Telephone | 5166784000 |
| Mailing Fax Number | 5166789573 |
| Enumeration Date | 2012-04-03 |
| Last Update Date | 2012-04-03 |
| Authorized Official Name | NICHOLAS TARRICONE (OWNER) |
| Authorized Official Telephone | 5166784000 |
| Authorized Official Credential | MD MHA FACOG |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
176675 | NY | Ambulatory Health Care Facilities |
| Street Address |
2000 N VILLAGE AVE SUITE 109 |
| City | ROCKVILLE CENTRE |
| State | NY |
| Zip Code | 11570-1078 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194728592 | Florencio Abasolo Gomez | Internal Medicine | 2000 N Village Ave, Ste 205, Rockville Centre, NY 11570-1001 | 2005-05-31 |
| 1831697101 | Stephanie Dym | Pharmacist | 2000 N Village Ave, Rockville Centre, NY 11570-1078 | 2018-01-31 |
| 1538607759 | Frankie Batiste | Physician Assistant | 2000 N Village Ave, Ste 402, Rockville Centre, NY 11570-1078 | 2017-02-08 |
| 1497113989 | Winthrop Community Medical Affiliates, P.C. | Orthopaedic Surgery | 2000 N Village Ave, Suite 306, Rockville Centre, NY 11570-1078 | 2016-01-29 |
| 1376946640 | Fontak Inc | Pharmacy | 2000 N Village Ave, Suite 107, Rockville Centre, NY 11570-1078 | 2014-10-01 |
| 1417294018 | Mary A Kelly | Nurse Practitioner | 2000 N Village Ave, Suite 108, Rockville Centre, NY 11570-1078 | 2013-01-16 |
| 1649515925 | Chs Physician Partners, PC | Internal Medicine | 2000 N Village Ave, Suite 102, Rockville Centre, NY 11570-1078 | 2012-11-28 |
| 1891086013 | Michael S. Block, M.d. P.C. | Obstetrics & Gynecology | 2000 N Village Ave, Suite 411, Rockville Centre, NY 11570-1078 | 2011-04-21 |
| 1255630893 | Colon and Rectal Surgery P.C. | Colon & Rectal Surgery | 2000 N Village Ave, Suit 205, Rockville Centre, NY 11570-1078 | 2011-03-22 |
| 1629397526 | Surajit Saha | Ophthalmology | 2000 N Village Ave, Suite 402, Rockville Centre, NY 11570-1078 | 2010-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811462419 | Jessica Ilana Smuckler | Occupational Therapist | 90 S Park Ave Apt C2, Rockville Centre, NY 11570 | 2018-10-10 |
| 1356831309 | Pure Medical Services PC | Specialist | 2000 N Village Ave Ste 202, Rockville Centre, NY 11570 | 2018-05-15 |
| 1447766449 | Licura, LLC | Technician, Other | 566 Merrick Road, Suite 1, Rockville Centre, NY 11570 | 2017-12-28 |
| 1427505858 | Shera M Goodridge | Specialist | 134 Shellbank Place, Rockville Center, NY 11570 | 2016-09-01 |
| 1669830634 | Barbara Massina, Lcsw | Clinic/Center | 161 N Village Ave, Rockville Centre, NY 11570 | 2016-02-05 |
| 1972973428 | Medscript Pharmacy LLC | Pharmacy | 180-184 Sunrise Highway, Rockville Centre, NY 11570 | 2015-09-28 |
| 1265813703 | Jeffrey Michael Nozius | Registered Nurse | 1000 Hempstead Ave, Rockville Centre, NY 11570 | 2015-06-10 |
| 1568855971 | Meredith Kreinbihl | Counselor | 119 North Park Avenue, Suite 210, Rockville Centre, NY 11570 | 2015-03-09 |
| 1174921647 | Pamela Leake | Behavioral Analyst | 88 Hendrickson Ave, Rvc, NY 11570 | 2014-12-15 |
| 1467851584 | Lisa Brown-eisel, Lcsw, P.C. | Social Worker | 100 North Village Avenue, Suite 32, Rockville Centre, NY 11570 | 2014-08-14 |
| Find all providers in zip 11570 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205094166 | Usdk LLC | Clinic/Center | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2008-05-28 |
| 1821256959 | Usdk Medical LLP | Clinic/Center | 242 Merrick Rd, Rockville Centre, NY 11570-5254 | 2008-05-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 | ROCKVILLE CENTRE |
| Zip Code | 11570 |
Please comment or provide details below to improve the information on ISLAND PHYSICIAN SERVICES, PLLC.
| 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.