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PRINE HEALTH MEDICAL GROUP, PLLC
NPI 1053267369
Podiatrist in Rockville Centre, NY

Active since March 09, 2026CLIA Certified · 2 labs
314 DEMOTT AVE, ROCKVILLE CENTRE, NY 11570(516) 223-4026 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prine Health Medical Group, Pllc NPPES

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

PRINE HEALTH MEDICAL GROUP, PLLC (NPI 1053267369), doing business as Prine Podiatry, is a healthcare organization registered as a podiatrist in Rockville Centre, New York and active in the NPI registry since March 2026. The organization holds 2 active CLIA laboratory certificates and lists Simon Elliot Prince, Md, as its authorized official.

NPPES Registry Identity

NPI1053267369
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePRINE HEALTH MEDICAL GROUP, PLLC
Location Address314 DEMOTT AVERockville Centre, NY 11570-1854
Mailing Address1400 Old Country Rd Ste 101nWestbury, NY 11590-5119
Phone(516) 223-4026
Organization SubpartNo
Authorized OfficialSimon Elliot PrinceMd · (516) 365-5570
Enumeration DateMarch 9, 2026
NPPES CertifiedMarch 9, 2026
✔ NPI 1053267369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatristPodiatric Medicine & Surgery Service Providers
Taxonomy Code213E00000X
Definition
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
314 DEMOTT AVE, Rockville Centre, NY 11570
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Other Names 1

Doing Business AsPrine Podiatry

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

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 33D0154629

Prine Health Medical Group PLLC · Rockville Centre, NY
Active · expires Jul 27, 2027
CLIA Number33D0154629
Laboratory TypePhysician Office
Certificate Effective DateJuly 28, 2025
Certificate Expiration DateJuly 27, 2027
Laboratory DirectorDr. Paul Friedmann
Laboratory Phone(516) 764-5807
Laboratory LocationPrine Health Medical Group PLLC77 N Centre Avenue, Suite 300, Rockville Centre, NY 11570
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 33D0676389

Prine Health Medical Group PLLC · Rockville Centre, NY
Active · expires Aug 31, 2026
CLIA Number33D0676389
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorDr. John Ioannou
Laboratory Phone(516) 764-7070
Laboratory LocationPrine Health Medical Group PLLC364 Merrick Rd, Rockville Centre, NY 11570
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

MS. AMANDA LEFKOWITZ RN
Nurse Practitioner (Psychiatric/Mental Health)
314 DEMOTT AVE
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 996-1178
JAY ARTHUR KERNER
Clinic/Center (Podiatric)
314 DEMOTT AVE
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 223-4026
MRS. AUDREY FRESHMAN MSW
Social Worker (Clinical)
314 DEMOTT AVE
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 678-2532
DR. JAY A KERNER DPM
Podiatrist
314 DEMOTT AVE
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 223-4026
JAY ARTHUR KERNER
Point of Service
314 DEMOTT AVE
ROCKVILLE CENTRE, NY 11570
Nassau County (516) 223-4026

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 1053267369. It was assigned to this organization in the NPPES registry on March 9, 2026. The provider is doing business as PRINE Podiatry.

Where is Prine Health Medical Group, PLLC located?

Prine Health Medical Group, PLLC is located at 314 Demott Ave, Rockville Centre, NY 11570. The listed phone number is (516) 223-4026.

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

The primary specialty registered for this NPI is Podiatrist with taxonomy code 213E00000X.

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 March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.