ISLAND MEDICAL SPECIALISTS, P.L.L.C.
NPI 1407844160
Internal Medicine in Staten Island, NY
About Island Medical Specialists, P.l.l.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISLAND MEDICAL SPECIALISTS, P.L.L.C. (NPI 1407844160) is a healthcare organization registered as an internal medicine in Staten Island, New York and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through May 23, 2028, maintains a secondary practice location in Staten Island, and lists Lori Guterman, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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 Medical Specialists, P.l.l.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Island Medical Specialists, P.L.L.C., which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Staten Island, NY 10306
Staten Island, NY 10306
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 33D2260910
Island Medical Specialists · Staten Island, NYFrequently 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 Specialists, P.L.L.C.'s NPI number?
The NPI number for Island Medical Specialists, P.L.L.C. is 1407844160. It was assigned to this organization in the NPPES registry on October 7, 2005.
Where is Island Medical Specialists, P.L.L.C. located?
Island Medical Specialists, P.L.L.C. is located at 2627 Hylan Blvd Ste C, Staten Island, NY 10306. The listed phone number is (718) 351-1136.
What is Island Medical Specialists, P.L.L.C.'s specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Island Medical Specialists, P.L.L.C. enrolled in Medicare?
Yes. Island Medical Specialists, P.L.L.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Island Medical Specialists, P.L.L.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Island Medical Specialists, P.L.L.C., in Cardiovascular Disease (Cardiology), Internal Medicine 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, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Island Medical Specialists, P.L.L.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D2260910) is associated with this NPI, valid through May 23, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Island Medical Specialists, P.L.L.C. was last updated on December 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Island Medical Specialists, P.l.l.c. · NPI 1407844160
Internal Medicine organization in Staten Island, New York. Organization record, active in the CMS NPPES registry since October 7, 2005.
## Identity
- **NPI:** 1407844160 (Entity type: Organization)
- **Enumerated:** October 7, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Lori Guterman, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 2627 HYLAN BLVD STE C, Staten Island, NY 10306-4344
- **Phone:** (718) 351-1136 · **Fax:** (718) 667-9711
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Cardiovascular Disease (Cardiology) (1), Nurse Practitioner (1); 3 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** December 21, 2022
- **Other identifiers:** Medicaid 02679945 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1407844160) · Data from the CMS NPPES public registry.