ISLAND PULMONARY AND CRITICAL CARE PLLC
NPI 1396543351
Internal Medicine - Pulmonary Disease in Lake Grove, NY
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
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Island Pulmonary And Critical Care Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Island Pulmonary And Critical Care PLLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
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 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.
Is Island Pulmonary And Critical Care PLLC enrolled in Medicare?
Yes. Island Pulmonary And Critical Care PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Island Pulmonary And Critical Care PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Island Pulmonary And Critical Care PLLC. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 17 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.
# Island Pulmonary And Critical Care Pllc · NPI 1396543351
Pulmonary Disease organization in Lake Grove, New York. Organization record, active in the CMS NPPES registry since March 5, 2025.
## Identity
- **NPI:** 1396543351 (Entity type: Organization)
- **Enumerated:** March 5, 2025
- **Primary specialty:** Internal Medicine - Pulmonary Disease · taxonomy 207RP1001X
- **Organization subpart:** No
- **Authorized official:** Edison Gavilanes, OWNER
## Practice location
- **Address:** 50 SOUTHVIEW CIR, Lake Grove, NY 11755-2239
- **Phone:** (631) 730-7375
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1396543351) · Data from the CMS NPPES public registry.