PRINE PODIATRY
NPI 1053074658
Durable Medical Equipment & Medical Supplies in Hicksville, NY
- Organization
- Durable Medical Equipment & Medical Supp...
- CLIA Number: 33D2173761
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 10-17-2027
About PRINE PODIATRY
This page provides the complete NPI Profile along with additional information for Prine Podiatry, a provider established in Hicksville, New York operating as a Durable Medical Equipment & Medical Supplies. The healthcare provider is registered in the NPI registry with number 1053074658 assigned on October 2021. The practitioner's primary taxonomy code is 332B00000X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Prine Podiatry. The authorized official of this NPI record is Georgia Haynes (Administrator)
- NPI
- 1053074658 Verify this NPI
- Provider Legal Name
- PRINE HEALTH MEDICAL GROUP, PLLC
- Other Organization Name
- PRINE PODIATRY
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 400 S OYSTER BAY RD STE 308 HICKSVILLE, NY 11801
- Location Phone
- (516) 365-5570
- Mailing Address
- 370 OLD COUNTRY RD STE 100 GARDEN CITY, NY 11530
- Mailing Phone
- (516) 365-5570
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 10-20-2021
- Last Update Date
- 10-25-2021
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Durable Medical Equipment & Medical Supplies
- Taxonomy Code
- 332B00000X
- Type
- Suppliers
- Taxonomy Description
- A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 33D2173761
- Facility Type
- Physician Office
- Certificate Effective Date
- October 18, 2025
- Certificate Expiration Date
- October 17, 2027
- Laboratory Director
- DR. SIMON E. PRINCE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Prine Podiatry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1053074658, enumerated as an "organization" on October 20, 2021.
The provider is located at 400 S OYSTER BAY RD STE 308 HICKSVILLE, NY 11801 and the phone number is (516) 365-5570.
Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.
