ISLAND NEUROLOGICAL THERAPY, P.C.
NPI 1710368246
Clinic/Center - Medical Specialty in Massapequa, NY

Active since June 10, 2015
922 N BROADWAY, MASSAPEQUA, NY 11758(516) 520-5507(516) 520-5493 Get Directions Write a Review

NPPES record last updated: October 23, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Island Neurological Therapy, P.c. NPPES

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

ISLAND NEUROLOGICAL THERAPY, P.C. (NPI 1710368246) is a healthcare organization registered as a medical specialty in Massapequa, New York and active in the NPI registry since June 2015. The organization lists Birendra Trivedi, Ceo, as its authorized official.

NPPES Registry Identity

NPI1710368246
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameISLAND NEUROLOGICAL THERAPY, P.C.
Location Address922 N BROADWAYMassapequa, NY 11758-2303
Mailing Address922 N BroadwayMassapequa, NY 11758-2303 · (516) 520-5507 · Fax (516) 520-5493
Fax(516) 520-5493
Organization SubpartNo
Authorized OfficialBirendra TrivediCeo · (516) 520-5507
Enumeration DateJune 10, 2015
Last NPPES UpdateOctober 23, 2023
NPPES CertifiedOctober 23, 2023
✔ NPI 1710368246 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in NY · 209199
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
922 N BROADWAY, Massapequa, NY 11758

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 Neurological Therapy, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Island Neurological Therapy, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Neurology
NPI 1992750244
924 N BROADWAY STE 2
Massapequa, NY 11758
(516) 520-5507
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1427022391
924 N BROADWAY # 2 ISLAND NEUROLOGICAL THERAPY, PC
Massapequa, NY 11758
(516) 520-5507
✔ PECOS✔ Accepts Medicare0.5 mi
Neurology
NPI 1275562894
263 7TH AVE
Brooklyn, NY 11215
(718) 246-8614
✔ PECOS✔ Accepts Medicare27 mi

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 Neurological Therapy, P.C.'s NPI number?

The NPI number for Island Neurological Therapy, P.C. is 1710368246. It was assigned to this organization in the NPPES registry on June 10, 2015.

Where is Island Neurological Therapy, P.C. located?

Island Neurological Therapy, P.C. is located at 922 N Broadway, Massapequa, NY 11758. The listed phone number is (516) 520-5507.

What is Island Neurological Therapy, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Island Neurological Therapy, P.C. enrolled in Medicare?

Yes. Island Neurological Therapy, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Island Neurological Therapy, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Neurology, reassign their Medicare billing to Island Neurological Therapy, P.C.. 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, 1 practice at this address and 2 within 10 miles. 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 Neurological Therapy, P.C. was last updated on October 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.