ISLAND CONCIERGE MEDICAL SERVICES PLLC (NPI# 1871922898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871922898 |
| Entity Type | Organization |
| Organization Name | ISLAND CONCIERGE MEDICAL SERVICES PLLC |
| Practice Address |
3400 Nesconset Hwy. Suite 103 East Setauket NY 11733 |
| Practice Telephone | 6316759393 |
| Practice Fax Number | 6316759391 |
| Mailing Telephone | 6316759393 |
| Mailing Fax Number | 6316759391 |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2015-12-17 |
| Authorized Official Name | MOHAMED SAMEEN (MEDICAL DOCTOR) |
| Authorized Official Telephone | 6316759393 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 214732 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
3400 NESCONSET HWY. SUITE 103 |
| City | EAST SETAUKET |
| State | NY |
| Zip Code | 11733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063033991 | Olivia Carlino | Registered Nurse | 28 Buckingham Meadow Road, Setauket, NY 11733 | 2020-05-01 |
| 1295392553 | Johnny Slade | Emergency Medicine | 11 Bridge Rd, East Setauket, NY 11733 | 2019-05-22 |
| 1275060345 | Donna M Sweeney | Specialist | 14 Research Way East, East Setauket, NY 11733 | 2017-05-18 |
| 1659806388 | Erin Kunz | Podiatrist | Stony Brook Surgical Associates, 37 Research Way, Setauket- East Setauket, NY 11733 | 2017-05-01 |
| 1285180521 | Allison M Pinard | Specialist/Technologist | 149 Old Field Road, Setauket, NY 11733 | 2016-08-28 |
| 1578915096 | Kristyn Matovich | Behavioral Analyst | 5 Kenwood Street, East Setauket, NY 11733 | 2016-07-08 |
| 1306258900 | Patricia M. Ferrara | Licensed Practical Nurse | 181 N Bellemeade Rd, Setauket, NY 11733 | 2014-05-30 |
| 1669718219 | Sheila Marie Vergith | Physician Assistant | 17 Coraway Road, Setauket, NY 11733 | 2012-12-28 |
| 1285980474 | Jennifer L Monastero | Physical Therapist | 12 Technology Dr., Unit 2, E. Setauket, NY 11733 | 2012-07-25 |
| 1497018816 | Dawn Manchester | Specialist | 22 Game Lane, East Setauket, NY 11733 | 2012-06-20 |
| Find all providers in zip 11733 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497160790 | Jamie Noelle Mersten | Internal Medicine | 205 Belle Meade Road, East Setauket, NY 11733-2401 | 2014-06-25 |
| 1861427502 | Martin Liebowitz | Internal Medicine | 205 N Belle Mead Ave, East Setauket, NY 11733 | 2006-07-11 |
| 1952363814 | Jerome Nadler | Internal Medicine | 2 Cornell Ct, East Setauket, NY 11733-1106 | 2006-04-05 |
| 1720055353 | Anjani Kota | Internal Medicine | 100 N Belle Mead Ave Ste D, East Setauket, NY 11733-3530 | 2006-03-02 |
| 1518953462 | Ibrahim O Almasry | Internal Medicine | 26 Research Way, East Setauket, NY 11733-3453 | 2005-09-26 |
| 1063414639 | Larisa V Venezia | Internal Medicine | 46 Route 25a, Suite 6, East Setauket, NY 11733 | 2005-08-12 |
| 1548261076 | Zeenat A Hussain | Internal Medicine | 4 Technology Drive, Suite-130, East Setauket, NY 11733 | 2005-08-09 |
| 1073939625 | Fnu Zarlasht | Internal Medicine | 26 Research Way, East Setauket, NY 11733-9260 | 2014-03-06 |
| 1891119749 | Diana Nido | Internal Medicine | 205 N Belle Mead Rd, East Setauket, NY 11733-3483 | 2014-02-13 |
| 1932442100 | Glennis Mercedes Alvarado | Internal Medicine | 205 N Belle Mead Rd, East Setauket, NY 11733-3483 | 2013-04-05 |
| Find all providers in EAST SETAUKET | ||||
| City | EAST SETAUKET |
| Zip Code | 11733 |
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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.