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ISLAND INTERNIST PC
NPI 1073669479
General Practice in Staten Island, NY

Active since January 26, 2007CLIA 33D0968137 · Waiver
420 LYNDALE AVE, STATEN ISLAND, NY 10312(718) 967-5630(718) 967-7099 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Island Internist Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISLAND INTERNIST PC (NPI 1073669479) is a healthcare organization registered as a general practice in Staten Island, New York and active in the NPI registry since January 2007. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Donna Seminara, Owner, as its authorized official.

NPPES Registry Identity

NPI1073669479
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameISLAND INTERNIST PC
Location Address420 LYNDALE AVEStaten Island, NY 10312-6131
Mailing Address420 Lyndale AveStaten Island, NY 10312-6131 · (718) 967-1700 · Fax (718) 967-7099
Phone(718) 967-5630
Fax(718) 967-7099
Organization SubpartNo
Authorized OfficialDonna SeminaraOwner · (718) 967-1700
Enumeration DateJanuary 26, 2007
Last NPPES UpdateMay 27, 2010
✔ NPI 1073669479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Licenses✔ Licensed in NY · 234387✔ Licensed in NY · 179723✔ Licensed in NY · 22415✔ Licensed in NY · 171607✔ Licensed in NY · 234484
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
420 LYNDALE AVE, Staten Island, NY 10312
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Other Identifiers 10

Other1336194281NY · Npi #
Medicare UPINE69917NY
Other1124001599NY · Npi #
Other1861448896NY · Npi#
Medicare UPINE84348NY
Medicare UPINI54046NY
Medicare UPINI55549NY
Other1376580662NY · Npi #
Other1750476289NY · Npi#
Medicare UPINH80965NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0968137

Island Internists · Staten Island, NY
Active · expires Dec 2, 2027
CLIA Number33D0968137
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorDonna Seminara MD
Laboratory Phone(718) 967-5630
Laboratory LocationIsland Internists420 Lyndale Ave, Staten Island, NY 10312
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DONNA P SEMINARA MD
Internal Medicine (Geriatric Medicine)
420 LYNDALE AVE
STATEN ISLAND, NY 10312
Richmond County (718) 967-5630
DAVID R. PFAFF M.D.
Internal Medicine
420 LYNDALE AVE
STATEN ISLAND, NY 10312
Richmond County (718) 667-6776
LARISA MALISOVA DO
General Practice
420 LYNDALE AVE
STATEN ISLAND, NY 10312
Richmond County (718) 967-5630
NSUH SOUTH BEACH PHYSICIANS UFP CORPORATION
Internal Medicine (Geriatric Medicine)
420 LYNDALE AVE
STATEN ISLAND, NY 10312
Richmond County (718) 967-5630

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Island Internist PC's NPI number?

The NPI number for Island Internist PC is 1073669479. It was assigned to this organization in the NPPES registry on January 26, 2007.

Where is Island Internist PC located?

Island Internist PC is located at 420 Lyndale Ave, Staten Island, NY 10312. The listed phone number is (718) 967-5630.

What is Island Internist PC's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Island Internist PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0968137) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Island Internist PC was last updated on May 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.