SOUTH ISLAND MEDICAL
NPI 1306954292
Family Medicine in Island Park, NY

Active since August 29, 2006CLIA 33D0990577 · Waiver
4042A AUSTIN BLVD, ISLAND PARK, NY 11558(516) 670-8800(516) 670-8803 Get Directions Write a Review

NPPES record last updated: March 18, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South Island Medical NPPES

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

SOUTH ISLAND MEDICAL (NPI 1306954292) is a healthcare organization registered as a family medicine in Island Park, New York and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Carolyn M Castiglia, President, as its authorized official.

NPPES Registry Identity

NPI1306954292
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSOUTH ISLAND FAMILY MEDICAL, LLC
Location Address4042A AUSTIN BLVDIsland Park, NY 11558-1226
Mailing Address4042-a Austin BlvdIsland Park, NY 11558-1226 · (516) 670-8800 · Fax (516) 670-8803
Fax(516) 670-8803
Organization SubpartNo
Authorized OfficialCarolyn M CastigliaPresident · (516) 670-8800
Enumeration DateAugust 29, 2006
Last NPPES UpdateMarch 18, 2008
NPI 1306954292 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 · 210382
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.
4042A AUSTIN BLVD, Island Park, NY 11558

Other Names 1

Doing Business AsSouth Island Medical

Other Identifiers 2

Medicare ID-Type Unspecified896161NY · Provider Id
Medicare ID-Type Unspecified11V561NY · Provider Id

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

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 33D0990577

South Island Family Medical LLC · Island Park, NY
Active · expires Mar 26, 2027
CLIA Number33D0990577
Laboratory TypePhysician Office
Certificate Effective DateApril 23, 2014
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Carolyn M. Castiglia
Laboratory Phone(516) 670-8800
Laboratory LocationSouth Island Family Medical LLC3 California Place South, Island Park, NY 11558
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Family Medicine
4042A AUSTIN BLVD
ISLAND PARK, NY 11558

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 Family Medical, LLC's NPI number?

The NPI number for South Island Family Medical, LLC is 1306954292. It was assigned to this organization in the NPPES registry on August 29, 2006. The provider is doing business as South Island Medical.

Where is South Island Family Medical, LLC located?

South Island Family Medical, LLC is located at 4042A Austin Blvd, Island Park, NY 11558. The listed phone number is (516) 670-8800.

What is South Island Family Medical, LLC's specialty?

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

Does South Island Family Medical, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0990577) is associated with this NPI, valid through March 26, 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 South Island Family Medical, LLC was last updated on March 18, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.