Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Island Wide Medical Care PLLC

Organization Dermatology Physician · NPI 1558049577

Island Wide Medical Care PLLC is a Dermatology Physician in Massapequa, New York. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

616 Broadway
Massapequa, NY 11758-5024
Phone: (516) 636-5021
Fax: (516) 636-5023
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X

Record details

NPI number1558049577
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Suppa — Owner · (516) 636-5021
NPI enumeratedJuly 10, 2023
Last updated in NPPESJuly 11, 2023
Certification dateJuly 11, 2023
Mailing address138 Main St # 1009, East Rockaway, NY 11518-1702

Other providers in Massapequa