MID ISLAND MEDICAL ASSOCIATES, PLLC
NPI 1023905247
Internal Medicine in Center Moriches, NY

Active since June 20, 2025
172 BELLEVIEW AVE, CENTER MORICHES, NY 11934(516) 697-8387(516) 365-1476 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mid Island Medical Associates, Pllc NPPES

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

MID ISLAND MEDICAL ASSOCIATES, PLLC (NPI 1023905247) is a healthcare organization registered as an internal medicine in Center Moriches, New York and active in the NPI registry since June 2025. The organization lists Olaf Butchma, President, as its authorized official.

NPPES Registry Identity

NPI1023905247
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameMID ISLAND MEDICAL ASSOCIATES, PLLC
Location Address172 BELLEVIEW AVECenter Moriches, NY 11934-3731
Mailing AddressPo Box 367Manhasset, NY 11030-0367 · (516) 697-8387 · Fax (516) 365-1476
Fax(516) 365-1476
Organization SubpartNo
Authorized OfficialOlaf ButchmaPresident · (203) 901-2493
Enumeration DateJune 20, 2025
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1023905247 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
172 BELLEVIEW AVE, Center Moriches, NY 11934

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mid Island Medical Associates, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Mid Island Medical Associates, PLLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Internal Medicine
NPI 1326037474
78 OLD COUNTRY RD
Westhampton, NY 11977
(516) 365-1953
✔ PECOS✔ Accepts Medicare6.2 mi
Nurse Practitioner
NPI 1548967656
13 LOCUST PL
Ronkonkoma, NY 11779
(516) 884-1892
✔ PECOS✔ Accepts Medicare18 mi
Nurse Practitioner
NPI 1912347428
301 E MAIN ST
Bay Shore, NY 11706
(516) 330-1578
✔ PECOS✔ Accepts Medicare25 mi
Nurse Practitioner
NPI 1447549894
5353 MERRICK RD
Massapequa, NY 11758
(516) 798-1800
✔ PECOS✔ Accepts Medicare35 mi
Family Practice
NPI 1588921894
888 OLD COUNTRY RD
Plainview, NY 11803
(516) 719-3086
✔ PECOS✔ Accepts Medicare36 mi
Nurse Practitioner
NPI 1235117664
350 S BROADWAY
Hicksville, NY 11801
(516) 938-0100
✔ PECOS✔ Accepts Medicare38 mi
Family Practice
NPI 1760420772
10 E MERRICK RD STE 306
Valley Stream, NY 11580
(516) 872-2200
✔ PECOS✔ Accepts Medicare49 mi
Family Practice
NPI 1437579166
6835 MYRTLE AVE
Glendale, NY 11385
(516) 354-1600
✔ PECOS✔ Accepts Medicare58 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 Mid Island Medical Associates, PLLC's NPI number?

The NPI number for Mid Island Medical Associates, PLLC is 1023905247. It was assigned to this organization in the NPPES registry on June 20, 2025.

Where is Mid Island Medical Associates, PLLC located?

Mid Island Medical Associates, PLLC is located at 172 Belleview Ave, Center Moriches, NY 11934. The listed phone number is (516) 697-8387.

What is Mid Island Medical Associates, PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Mid Island Medical Associates, PLLC enrolled in Medicare?

Yes. Mid Island Medical Associates, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mid Island Medical Associates, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Mid Island Medical Associates, PLLC. 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. The largest specialties are Nurse Practitioner (4), Family Practice (3) and Internal Medicine (1). Of these, 1 practice 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 Mid Island Medical Associates, PLLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.