ISLAND PULMONARY AND CRITICAL CARE PLLC
NPI 1396543351
Internal Medicine - Pulmonary Disease in Lake Grove, NY

Active since March 05, 2025
50 SOUTHVIEW CIR, LAKE GROVE, NY 11755(631) 730-7375 Get Directions Write a Review

NPPES record last updated: April 28, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Island Pulmonary And Critical Care Pllc NPPES

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

ISLAND PULMONARY AND CRITICAL CARE PLLC (NPI 1396543351) is a healthcare organization registered as a pulmonary disease in Lake Grove, New York and active in the NPI registry since March 2025. The organization lists Edison Genaro Gavilanes, Owner, as its authorized official.

NPPES Registry Identity

NPI1396543351
Entity TypeOrganization
Primary Taxonomy207RP1001X
Legal Business NameISLAND PULMONARY AND CRITICAL CARE PLLC
Location Address50 SOUTHVIEW CIRLake Grove, NY 11755-2239
Mailing Address50 Southview CirLake Grove, NY 11755-2239 · (631) 730-7375
Organization SubpartNo
Authorized OfficialEdison Genaro GavilanesOwner · (631) 730-7375
Enumeration DateMarch 5, 2025
Last NPPES UpdateApril 28, 2025
NPPES CertifiedApril 28, 2025
NPI 1396543351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
50 SOUTHVIEW CIR, Lake Grove, NY 11755

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

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 Pulmonary And Critical Care PLLC's NPI number?

The NPI number for Island Pulmonary And Critical Care PLLC is 1396543351. It was assigned to this organization in the NPPES registry on March 5, 2025.

Where is Island Pulmonary And Critical Care PLLC located?

Island Pulmonary And Critical Care PLLC is located at 50 Southview Cir, Lake Grove, NY 11755. The listed phone number is (631) 730-7375.

What is Island Pulmonary And Critical Care PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

When was this NPI record last updated?

The NPPES record for Island Pulmonary And Critical Care PLLC was last updated on April 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.