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ISLAND MEDICAL SPECIALISTS, P.L.L.C.
NPI 1407844160
Internal Medicine in Staten Island, NY

Active since October 07, 2005CLIA 33D2260910 · Waiver
2627 HYLAN BLVD STE C, STATEN ISLAND, NY 10306(718) 351-1136(718) 667-9711 Get Directions Write a Review

NPPES record last updated: December 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 21, 2022, Dec 12, 2022, Dec 7, 2022 and 2 more (5 updates tracked since 2015).

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

NPI1407844160
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameISLAND MEDICAL SPECIALISTS, P.L.L.C.
Location Address2627 HYLAN BLVD STE CStaten Island, NY 10306-4344
Mailing Address2627 Hylan Blvd Ste CStaten Island, NY 10306-4344 · (718) 351-1136 · Fax (718) 667-9711
Phone(718) 351-1136
Fax(718) 667-9711
Organization SubpartNo
Authorized OfficialLori GutermanCredentialing Coordinator · (718) 876-6220
Enumeration DateOctober 7, 2005
Last NPPES UpdateDecember 21, 20225 updates tracked since enumeration
NPPES CertifiedDecember 21, 2022
✔ NPI 1407844160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
2627 HYLAN BLVD STE C, Staten Island, NY 10306
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Secondary Practice Location 1

Location 1501 Seaview Ave Ste 100Staten Island, NY 10305-3400 · Phone (718) 683-3955 · Fax (718) 667-9711

Other Identifiers 1

Medicaid02679945NY

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

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, NY
Active · expires May 23, 2028
CLIA Number33D2260910
Laboratory TypePhysician Office
Certificate Effective DateMay 24, 2026
Certificate Expiration DateMay 23, 2028
Laboratory DirectorLucinda L. Ripoll
Laboratory Phone(718) 351-1136
Laboratory LocationIsland Medical Specialists2627-C Hylan Blvd, Staten Island, NY 10306
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.

DR. NOREEN TAN-CHU M. D.
Internal Medicine
2627 HYLAN BLVD STE C
STATEN ISLAND, NY 10306
Richmond County (718) 351-1136

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 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.

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.