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ISLIP PEDIATRICS PC
NPI 1619077070
Pediatrics in Islip, NY

Active since September 25, 2006CLIA 33D0989927 · Waiver
215 ISLIP AVE, ISLIP, NY 11751(631) 277-0558(631) 277-0978 Get Directions Write a Review

NPPES record last updated: August 16, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Islip Pediatrics Pc NPPES

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

ISLIP PEDIATRICS PC (NPI 1619077070) is a healthcare organization registered as a pediatrics in Islip, New York and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through February 20, 2028 and lists Audrey Chong-gayle, President, as its authorized official.

NPPES Registry Identity

NPI1619077070
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameISLIP PEDIATRICS PC
Location Address215 ISLIP AVEIslip, NY 11751
Mailing Address215 Islip AveIslip, NY 11751 · (631) 277-0558 · Fax (631) 277-0978
Phone(631) 277-0558
Fax(631) 277-0978
Organization SubpartNo
Authorized OfficialAudrey Chong-gaylePresident · (631) 277-0558
Enumeration DateSeptember 25, 2006
Last NPPES UpdateAugust 16, 2013
✔ NPI 1619077070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 214816
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
215 ISLIP AVE, Islip, NY 11751
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Other Identifiers 1

Medicaid02022351NY

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

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 33D0989927

Islip Pediatrics PC · Islip, NY
Active · expires Feb 20, 2028
CLIA Number33D0989927
Laboratory TypePhysician Office
Certificate Effective DateFebruary 21, 2026
Certificate Expiration DateFebruary 20, 2028
Laboratory DirectorAudrey A. Chong-Gayle
Laboratory Phone(631) 277-0558
Laboratory LocationIslip Pediatrics PC215 Islip Ave, Islip, NY 11751
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 12

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

DAVID NEGRON DPM PC
Podiatrist (Foot & Ankle Surgery)
215 ISLIP AVE
ISLIP, NY 11751
Suffolk County (631) 277-4060
JULIE RUGGIERO LMSW
Social Worker
215 ISLIP AVE
ISLIP, NY 11751
Suffolk County (631) 664-1582
MS. SUSAN INTRAVAIA
Counselor (Mental Health)
215 ISLIP AVE
ISLIP, NY 11751
Suffolk County (631) 664-1582
RAISING HOPE MENTAL HEALTH COUNSELING
Counselor
215 ISLIP AVE
ISLIP, NY 11751
Suffolk County (516) 458-6162
ALEICIA ALEXANDER
Counselor (Mental Health)
215 ISLIP AVE
ISLIP, NY 11751
Suffolk County (631) 664-1582
MRS. NINA CHERYL REISS
Marriage & Family Therapist
215 ISLIP AVE
ISLIP, NY 11751
Suffolk County (631) 210-7508
LIFEWORKS MENTAL HEALTH COUNSELING, PLLC
Community/Behavioral Health
215 ISLIP AVE
ISLIP, NY 11751
Suffolk County (631) 664-1582
MRS. AUDREY CHONG-GAYLE M.D
Pediatrics
215 ISLIP AVE, STE 1
ISLIP, NY 11751
Suffolk County (631) 277-0558

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 Islip Pediatrics PC's NPI number?

The NPI number for Islip Pediatrics PC is 1619077070. It was assigned to this organization in the NPPES registry on September 25, 2006.

Where is Islip Pediatrics PC located?

Islip Pediatrics PC is located at 215 Islip Ave, Islip, NY 11751. The listed phone number is (631) 277-0558.

What is Islip Pediatrics PC's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Islip Pediatrics PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0989927) is associated with this NPI, valid through February 20, 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 Islip Pediatrics PC was last updated on August 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.