Provider Demographics
NPI:1386702165
Name:SOUTH ISLAND MEDICAL ASSOCIATES PC
Entity type:Organization
Organization Name:SOUTH ISLAND MEDICAL ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LALENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SINHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-471-5400
Mailing Address - Street 1:PO BOX 549
Mailing Address - Street 2:
Mailing Address - City:CEDARHURST
Mailing Address - State:NY
Mailing Address - Zip Code:11516-0549
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1731 SEAGIRT BLVD
Practice Address - Street 2:
Practice Address - City:FAR ROCKAWAY
Practice Address - State:NY
Practice Address - Zip Code:11691-4513
Practice Address - Country:US
Practice Address - Phone:718-471-5400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2019-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207QA0505XAllopathic & Osteopathic PhysiciansFamily MedicineAdult MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01260AOtherMEDICARE GHI
NY041022000029OtherFIDELIS
NY108268A24OtherHEALTHFIRST
NY2504106OtherGHI
NY47571OtherGHI PPO
NYDP195OtherOXFORD
NY10201150OtherAMERIGROUP
NY1026130OtherAETNA
NY159947OtherELDER PLAN
NY652661OtherEMPIRE BLUE CROSS BLUE
NY1000015808OtherAFFINITY
NY47571OtherGHI HMO
NYP00007221OtherMEDICARE RAILROAD
NY000142305OtherAMERICHOICE
NY02076OtherMEDICARE GHI
NY281437OtherWELLCARE
NYDP195OtherOXFORD
NY=========OtherUHC