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ISLAND MEDICAL CARE
NPI 1811186083
Legal Medicine in Commack, NY

Active since October 23, 2007CLIA 33D2335089 · Waiver
6277 JERICHO TPKE, COMMACK, NY 11725(631) 462-6644(631) 462-9890 Get Directions Write a Review

NPPES record last updated: January 8, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Island Medical Care NPPES

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

ISLAND MEDICAL CARE (NPI 1811186083) is a healthcare organization registered as a legal medicine in Commack, New York and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through March 26, 2027 and lists Mohammed R Azaz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1811186083
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameMID-SUFFOLK MEDICAL CARE PC
Location Address6277 JERICHO TPKECommack, NY 11725-2837
Mailing Address6277 Jericho TpkeCommack, NY 11725-2837 · (631) 462-6644 · Fax (631) 462-9890
Phone(631) 462-6644
Fax(631) 462-9890
Organization SubpartNo
Authorized OfficialMohammed R AzazCeo · (631) 462-6644
Enumeration DateOctober 23, 2007
Last NPPES UpdateJanuary 8, 2020
✔ NPI 1811186083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
License✔ Licensed in NY · 220310
Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

6277 JERICHO TPKE, Commack, NY 11725
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Other Names 1

Doing Business AsIsland Medical Care

Other Identifiers 1

Medicaid02131226NY

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 33D2335089

Mid Suffolk Medical Care Dba Island Medical Care · Commack, NY
Active · expires Mar 26, 2027
CLIA Number33D2335089
Laboratory TypePhysician Office
Certificate Effective DateDecember 5, 2025
Certificate Expiration DateMarch 26, 2027
Laboratory DirectorDr. Mohammad R. Azaz
Laboratory Phone(631) 462-6644
Laboratory LocationMid Suffolk Medical Care Dba Island Medical Care6277 Jericho Tpke, Commack, NY 11725
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 5

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

CARALYN DIGANGI NP
Nurse Practitioner (Adult Health)
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-6644
JONATHAN CATRONA PA-C
Physician Assistant
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-6644
MOHAMMED R AZAZ MD
Internal Medicine
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-6644
KRISTIN BONURA
Nurse Practitioner (Adult Health)
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 462-6644
NORTH SHORE CHILD PSYCHIATRY PC
Psychiatry & Neurology (Child & Adolescent Psychiatry)
6277 JERICHO TPKE
COMMACK, NY 11725
Suffolk County (631) 628-6868

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 Mid-Suffolk Medical Care PC's NPI number?

The NPI number for Mid-Suffolk Medical Care PC is 1811186083. It was assigned to this organization in the NPPES registry on October 23, 2007. The provider is doing business as Island Medical Care.

Where is Mid-Suffolk Medical Care PC located?

Mid-Suffolk Medical Care PC is located at 6277 Jericho Tpke, Commack, NY 11725. The listed phone number is (631) 462-6644.

What is Mid-Suffolk Medical Care PC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Does Mid-Suffolk Medical Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2335089) 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 Mid-Suffolk Medical Care PC was last updated on January 8, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.