ISLAND NEUROLOGICAL ASSOCIATES, P. C.

Provider Demographics

• NPI: 1558490656
• Name: ISLAND NEUROLOGICAL ASSOCIATES, P. C.
• Entity Type: Organization
• Organization Name: ISLAND NEUROLOGICAL ASSOCIATES, P. C.
• Authorized Official - Title/Position: MEDICAL DIRECTOR
• Authorized Official - Prefix: MR
• Authorized Official - First Name: STEPHEN
• Authorized Official - Middle Name: M
• Authorized Official - Last Name: NEWMAN
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 516-822-2230
• Mailing Address - Street 1: 1575 HILLSIDE AVE
• Mailing Address - Street 2: CO MDB INC SUITE LL3
• Mailing Address - City: NEW HYDE PARK
• Mailing Address - State: NY
• Mailing Address - Zip Code: 11040-2501
• Mailing Address - Country: US
• Mailing Address - Phone: 516-354-0071
• Mailing Address - Fax: 516-354-0415
• Practice Address - Street 1: 824 OLD COUNTRY RD
• Practice Address - Street 2: MRI SUITE
• Practice Address - City: PLAINVIEW
• Practice Address - State: NY
• Practice Address - Zip Code: 11803-4950
• Practice Address - Country: US
• Practice Address - Phone: 516-822-2230
• Practice Address - Fax: 516-354-0415
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-03-05
• Last Update Date: 2020-08-22

Provider Licenses

State	License ID	Taxonomies
NY	116328	2084N0400X
NY	120022	2084N0400X
NY	116326	2084N0400X
NY	129480	2084N0400X
NY	228114	2084N0400X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	2084N0400X	Allopathic & Osteopathic Physicians	Psychiatry & Neurology	Neurology	Group - Single Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
NY	02759339	Medicaid
NY	1578549101	Other	SM NEWMAN, MD (NPI)
NY	1811973449	Other	JOHN KELEMEN, MD (NPI)
NY	1861477820	Other	ERIK ENTIN, MD (NPI)
NY	00942549	Medicaid
NY	00397080	Medicaid
NY	00397099	Medicaid
NY	00397104	Medicaid
NY	1306822929	Other	IRA M TURNER, MD (NPI)
NY	289911	Medicare ID - Type Unspecified	IRA M TURNER, MD
NY	1811973449	Other	JOHN KELEMEN, MD (NPI)
NY	1861477820	Other	ERIK ENTIN, MD (NPI)
NY	B17952	Medicare UPIN
NY	289791	Medicare ID - Type Unspecified	STEPHEN M NEWMAN, MD
NY	00942549	Medicaid
NY	1306822929	Other	IRA M TURNER, MD (NPI)
NY	00397080	Medicaid
NY	02759339	Medicaid
NY	1578549101	Other	SM NEWMAN, MD (NPI)
NY	I22293	Medicare UPIN