PRINE PODIATRY
NPI 1053074658
Durable Medical Equipment & Medical Supplies in Hicksville, NY

Active since October 20, 2021CLIA Certified · 2 labs
400 S OYSTER BAY RD STE 308, HICKSVILLE, NY 11801(516) 365-5570 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Prine Podiatry NPPES

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

PRINE PODIATRY (NPI 1053074658) is a healthcare organization registered as a durable medical equipment & medical supplies in Hicksville, New York and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists Georgia Haynes, Administrator, as its authorized official.

NPPES Registry Identity

NPI1053074658
Entity TypeOrganization
Primary Taxonomy332B00000X
Legal Business NamePRINE HEALTH MEDICAL GROUP, PLLC
Location Address400 S OYSTER BAY RD STE 308Hicksville, NY 11801-3500
Mailing Address370 Old Country Rd Ste 100Garden City, NY 11530-1702 · (516) 365-5570
Organization SubpartNo
Authorized OfficialGeorgia HaynesAdministrator · (516) 407-2731
Enumeration DateOctober 20, 2021
Last NPPES UpdateOctober 25, 2021
NPPES CertifiedOctober 25, 2021
NPI 1053074658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDurable Medical Equipment & Medical SuppliesSuppliers
Taxonomy Code332B00000X
Definition
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.
400 S OYSTER BAY RD STE 308, Hicksville, NY 11801

Other Names 1

Doing Business AsPrine Podiatry

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0999729

Prine Health Medical Group PLLC · Manhasset, NY
Active · expires Dec 31, 2026
CLIA Number33D0999729
Laboratory TypePhysician Office
Certificate Effective DateJanuary 1, 2025
Certificate Expiration DateDecember 31, 2026
Laboratory DirectorDr. Simon E. Prince
Laboratory Phone(516) 365-5570
Laboratory LocationPrine Health Medical Group PLLC1129 Northern Boulevard, Suite 101, Manhasset, NY 11030
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2173761

Prine Health Medical Group PLLC · Hicksville, NY
Active · expires Oct 17, 2027
CLIA Number33D2173761
Laboratory TypePhysician Office
Certificate Effective DateOctober 18, 2025
Certificate Expiration DateOctober 17, 2027
Laboratory DirectorDr. Simon E. Prince
Laboratory Phone(516) 407-2743
Laboratory LocationPrine Health Medical Group PLLC400 South Oyster Bay Rd - # 308, Hicksville, NY 11801
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
400 S OYSTER BAY RD STE 308
HICKSVILLE, NY 11801

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 Prine Health Medical Group, PLLC's NPI number?

The NPI number for Prine Health Medical Group, PLLC is 1053074658. It was assigned to this organization in the NPPES registry on October 20, 2021. The provider is doing business as Prine Podiatry.

Where is Prine Health Medical Group, PLLC located?

Prine Health Medical Group, PLLC is located at 400 S Oyster Bay Rd Ste 308, Hicksville, NY 11801. The listed phone number is (516) 365-5570.

What is Prine Health Medical Group, PLLC's specialty?

The primary specialty registered for this NPI is Durable Medical Equipment & Medical Supplies with taxonomy code 332B00000X.

Does Prine Health Medical Group, PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Prine Health Medical Group, PLLC was last updated on October 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.