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ISLAND MEDICAL OF MEDFORD, LLP
NPI 1316160658
Family Medicine in Medford, NY

Active since April 11, 2007
1647 ROUTE 112, MEDFORD, NY 11763(631) 758-2220(631) 758-8355 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Island Medical Of Medford, Llp NPPES

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

ISLAND MEDICAL OF MEDFORD, LLP (NPI 1316160658) is a healthcare organization registered as a family medicine in Medford, New York and active in the NPI registry since April 2007. The organization lists Lissette Cepeda, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316160658
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameISLAND MEDICAL OF MEDFORD, LLP
Location Address1647 ROUTE 112Medford, NY 11763-3635
Mailing Address1647 Route 112Medford, NY 11763-3635 · (631) 758-2220 · Fax (631) 758-8355
Phone(631) 758-2220
Fax(631) 758-8355
Organization SubpartNo
Authorized OfficialLissette CepedaOffice Manager · (631) 758-2220
Enumeration DateApril 11, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1316160658 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 · 143200
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.
1647 ROUTE 112, Medford, NY 11763
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

APRIL BORDGES RPA-C
Physician Assistant (Medical)
1647 ROUTE 112
MEDFORD, NY 11763
Suffolk County (631) 758-2220

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 Medical Of Medford, LLP's NPI number?

The NPI number for Island Medical Of Medford, LLP is 1316160658. It was assigned to this organization in the NPPES registry on April 11, 2007.

Where is Island Medical Of Medford, LLP located?

Island Medical Of Medford, LLP is located at 1647 Route 112, Medford, NY 11763. The listed phone number is (631) 758-2220.

What is Island Medical Of Medford, LLP's specialty?

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

When was this NPI record last updated?

The NPPES record for Island Medical Of Medford, LLP was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.