ISLAND OF HEALTH MEDICAL PC (NPI# 1750470514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750470514 |
| Entity Type | Organization |
| Organization Name | ISLAND OF HEALTH MEDICAL PC |
| Practice Address |
8002 165 St. Union Tnpk Jamaica NY 11432 |
| Practice Telephone | 7183807000 |
| Practice Fax Number | 2127913388 |
| Mailing Telephone | 7183807000 |
| Mailing Fax Number | 2127913388 |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ILYA KLEYN (MD) |
| Authorized Official Telephone | 9175545735 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
215006 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02091596 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073782504 | Island of Health Medical PC | Internal Medicine | 114 32 Rockaway Beach Blvd, Rockaway Park, NY 11694 | 2008-02-28 |
| 1689763443 | Island of Health Medical PC | Clinic/Center | 8002 165 St. Union Tnpk., Jamaica, NY 11432 | 2006-10-12 |
| Street Address |
8002 165 ST. UNION TNPK |
| City | JAMAICA |
| State | NY |
| Zip Code | 11432 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396361259 | Banani Road 11 LLC | Pharmacy | 181-04 Hillside Ave, Jamaica, NY 11432 | 2020-06-17 |
| 1023633450 | Staphanie Anang | Licensed Practical Nurse | 30 Wexford Terrace Apt 3 Jj., Jamaica, NY 11432 | 2020-06-11 |
| 1205459476 | Jasmine Kaur Sandhu | Student in an Organized Health Care Education/Training Program | 87-68 164th St, N Building, 7th Floor, Rm N733, Jamaica, NY 11432 | 2020-05-22 |
| 1225650385 | Alli El-ijla | Student in an Organized Health Care Education/Training Program | Queens Hospital Center 82-68 164th Street, Jamaica, NY 11432 | 2020-05-12 |
| 1346869955 | Liane Zwetzich | Student in an Organized Health Care Education/Training Program | Queens Hospital Center, 82-68 164th Street, Jamaica, NY 11432 | 2020-04-14 |
| 1528697141 | Bahtiyar Toz | Student in an Organized Health Care Education/Training Program | 82-68 164th Street Queens Hospital Center, Jamaica, NY 11432 | 2020-04-06 |
| 1366089468 | Alisha Jnobaptiste | Counselor | 87-59 171 St., Jamaica, NY 11432 | 2019-12-08 |
| 1356995054 | Shawnette Natasha Brown | Counselor | 178-02/04 Jamaica Ave, Jamaica, NY 11432 | 2019-07-31 |
| 1518527142 | Magdalene Vidal | Case Manager/Care Coordinator | 177 30 Wexford Terrace, Suite A, Jamaica, NY 11432 | 2019-06-17 |
| 1811550338 | Rong Fan | Student in an Organized Health Care Education/Training Program | 88-68 164th St, Dept of Ob/gyn Rm B265, Jamaica, NY 11432 | 2019-04-19 |
| Find all providers in zip 11432 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962947838 | Lisa Kirkland Od PC | Clinic/Center | 12221a Guy R Brewer Blvd, Jamaica, NY 11434-2406 | 2016-12-30 |
| 1962876300 | Fayda Medical Care PC | Clinic/Center | 16204 Jamaica Ave Fl 5, Jamaica, NY 11432-4917 | 2015-11-23 |
| 1407029861 | Health Care and Family Medicine PC | Clinic/Center | 11481 177th Pl, Jamaica, NY 11434-1405 | 2008-04-08 |
| 1689763443 | Island of Health Medical PC | Clinic/Center | 8002 165 St. Union Tnpk., Jamaica, NY 11432 | 2006-10-12 |
| 1699226647 | Hillside Primary Care, Pllc | Clinic/Center | 16403 Hillside Ave, #1, Jamaica, NY 11432-4140 | 2016-10-14 |
| 1215397906 | Fayda Medical Care PC | Clinic/Center | 16204 Jamaica Ave, 5th Floor, Jamaica, NY 11432-4907 | 2016-02-24 |
| 1831575281 | Rolando R Roman Md PC | Clinic/Center | 8854 180th St, Jamaica, NY 11432-4738 | 2015-08-08 |
| 1407278229 | Ritecare Medical Office P.c | Clinic/Center | 8538 168th Pl, Jamaica, NY 11432-2638 | 2014-01-14 |
| 1891091757 | Rolando R.roman Mdpc | Clinic/Center | 8854 180th St, Jamaica, NY 11432-4738 | 2011-02-09 |
| 1588987234 | Sss Family Medicine PC | Clinic/Center | 11513a Merrick Blvd, Jamaica, NY 11434-1851 | 2010-03-10 |
| Find all providers in JAMAICA | ||||
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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.