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SOUTH ISLAND MEDICAL CARE PC
NPI 1306841911
Family Medicine in East Patchogue, NY

Active since June 20, 2005
801 GAZZOLA DR, EAST PATCHOGUE, NY 11772(631) 972-8109 Get Directions Write a Review

NPPES record last updated: November 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 15, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About South Island Medical Care Pc NPPES

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

SOUTH ISLAND MEDICAL CARE PC (NPI 1306841911) is a healthcare organization registered as a family medicine in East Patchogue, New York and active in the NPI registry since June 2005. The organization lists M Hani Salam, President, as its authorized official.

NPPES Registry Identity

NPI1306841911
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH ISLAND MEDICAL CARE PC
Location Address801 GAZZOLA DREast Patchogue, NY 11772-4900
Mailing AddressPo Box 846East Setauket, NY 11733-0656 · (631) 972-8109
Phone(631) 972-8109
Organization SubpartNo
Authorized OfficialM Hani SalamPresident · (631) 972-8109
Enumeration DateJune 20, 2005
Last NPPES UpdateNovember 15, 20252 updates tracked since enumeration
NPPES CertifiedNovember 15, 2025
✔ NPI 1306841911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 207811
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
801 GAZZOLA DR, East Patchogue, NY 11772
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Other Identifiers 8

Other5081A1NY · Empire Bc/bs
Other9569338NY · Cigna
Medicaid01770227NY
Other640938NY · Healthcare Partners Ipa
Other7082351NY · Aetna
Other080186021NY · Railroad Medicare
OtherP2666424NY · Oxford
Other115904NY · Vytra

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 SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

South Island Medical Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to South Island Medical Care PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

M Hani Salam, MD
Family Practice
NPI 1427067644
801 GAZZOLA DR
East Patchogue, NY 11772
(631) 972-8109
✔ PECOS✔ Accepts MedicareSame address
Maureen Nofi, NP
Nurse Practitioner
NPI 1083868004
76 SOUTHAVEN AVE SUITE 5
Medford, NY 11763
(631) 447-8860
✔ PECOS2.1 mi
Lisa Williams, AGPCNP
Nurse Practitioner
NPI 1487216743
76 SOUTHAVEN AVE STE 5
Medford, NY 11763
(631) 447-8860
✔ PECOS2.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 South Island Medical Care PC's NPI number?

The NPI number for South Island Medical Care PC is 1306841911. It was assigned to this organization in the NPPES registry on June 20, 2005.

Where is South Island Medical Care PC located?

South Island Medical Care PC is located at 801 Gazzola Dr, East Patchogue, NY 11772. The listed phone number is (631) 972-8109.

What is South Island Medical Care PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is South Island Medical Care PC enrolled in Medicare?

Yes. South Island Medical Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through South Island Medical Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to South Island Medical Care PC, in Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for South Island Medical Care PC was last updated on November 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.