ISLAND EYE SURGICENTER LLC
NPI 1629152053
Clinic/Center - Ambulatory Surgical in Westbury, NY

Active since October 24, 2006CLIA 33D0967067 · Waiver
1500 JERICHO TPKE, WESTBURY, NY 11590(516) 877-2400(516) 877-1879 Get Directions Write a Review

NPPES record last updated: August 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Island Eye Surgicenter Llc NPPES

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

ISLAND EYE SURGICENTER LLC (NPI 1629152053) is a healthcare organization registered as an ambulatory surgical in Westbury, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Sarah Malaniak, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1629152053
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameISLAND EYE SURGICENTER LLC
Location Address1500 JERICHO TPKEWestbury, NY 11590-1045
Mailing Address825 E Gate Blvd Ste 111Garden City, NY 11530-2136 · (516) 877-2400 · Fax (516) 877-1879
Fax(516) 877-1879
Organization SubpartNo
Authorized OfficialSarah MalaniakExecutive Director · (516) 877-2400
Enumeration DateOctober 24, 2006
Last NPPES UpdateAugust 27, 2020
NPPES CertifiedAugust 27, 2020
NPI 1629152053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License Licensed in NY · 2951205R
1500 JERICHO TPKE, Westbury, NY 11590

Other Identifiers 1

Medicaid02064079NY

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 33D0967067

Island Eye Surgicenter · Westbury, NY
Active · expires Mar 26, 2027
CLIA Number33D0967067
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateNovember 2, 1999
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Gerard Daversa
Laboratory Phone(516) 877-2400
Laboratory LocationIsland Eye Surgicenter1500 Jericho Turnpike, Westbury, NY 11590
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 52

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml J1097
This solution is used during eye surgery to maintain pupil dilation and reduce inflammation. Phenylephrine widens the pupil, while Ketorolac helps to prevent pain and swelling. It's applied directly to the eye by your healthcare provider during the procedure.
14,044 services2,404 patients
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg J1096
Dexamethasone, lacrimal ophthalmic insert, 0.1 mg is a tiny device inserted into your tear duct. It releases a steroid, dexamethasone, to reduce inflammation and discomfort in your eye. It's often used for conditions like dry eye or following eye surgery.
7,381 services1,272 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
4,356 services2,927 patients
Removal of recurring cataract in lens capsule using a laser 66821
This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.
1,336 services1,006 patients
Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060
This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.
331 services206 patients
Repair of tendon of upper eyelid 67904
Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.
292 services157 patients

Other Providers at the Same Location NPPES 2

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

Anesthesiology
1500 JERICHO TPKE
WESTBURY, NY 11590
Physician Assistant
1500 JERICHO TPKE
WESTBURY, NY 11590

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 Eye Surgicenter LLC's NPI number?

The NPI number for Island Eye Surgicenter LLC is 1629152053. It was assigned to this organization in the NPPES registry on October 24, 2006.

Where is Island Eye Surgicenter LLC located?

Island Eye Surgicenter LLC is located at 1500 Jericho Tpke, Westbury, NY 11590. The listed phone number is (516) 877-2400.

What is Island Eye Surgicenter LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Island Eye Surgicenter LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0967067) is associated with this NPI, valid through March 26, 2027. 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 Eye Surgicenter LLC was last updated on August 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.