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LONG ISLAND KIDNEY CARE PC
NPI 1063190064
Internal Medicine - Nephrology in Garden City, NY

Active since July 10, 2023
901 STEWART AVE STE 204, GARDEN CITY, NY 11530(516) 261-9988(516) 612-0071 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Long Island Kidney Care Pc NPPES

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

LONG ISLAND KIDNEY CARE PC (NPI 1063190064) is a healthcare organization registered as a nephrology in Garden City, New York and active in the NPI registry since July 2023. The organization maintains a secondary practice location in Plainview and lists Mohsen Pahlavan, Owner, as its authorized official.

NPPES Registry Identity

NPI1063190064
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameLONG ISLAND KIDNEY CARE PC
Location Address901 STEWART AVE STE 204Garden City, NY 11530-4883
Mailing Address3 Beech Tree LnGlen Head, NY 11545-3150 · (516) 261-9988 · Fax (516) 612-0071
Phone(516) 261-9988
Fax(516) 612-0071
Organization SubpartNo
Authorized OfficialMohsen PahlavanOwner · (516) 261-9988
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
✔ NPI 1063190064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
901 STEWART AVE STE 204, Garden City, NY 11530
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Secondary Practice Location 1

Location 11097 Old Country Rd Ste 101Plainview, NY 11803-6505 · Phone (516) 261-9988 · Fax (516) 612-0071

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)

Long Island Kidney Care Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Long Island Kidney Care PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Mohsen Pahlavan, MD
Nephrology
NPI 1518945310
1097 OLD COUNTRY RD STE 101
Plainview, NY 11803
(516) 261-9988
✔ PECOS7.6 mi
Maqsood Sadiq
Nurse Practitioner
NPI 1538701156
1097 OLD COUNTRY RD STE 101
Plainview, NY 11803
(516) 261-9988
✔ PECOS7.6 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 Long Island Kidney Care PC's NPI number?

The NPI number for Long Island Kidney Care PC is 1063190064. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Long Island Kidney Care PC located?

Long Island Kidney Care PC is located at 901 Stewart Ave Ste 204, Garden City, NY 11530. The listed phone number is (516) 261-9988.

What is Long Island Kidney Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Long Island Kidney Care PC enrolled in Medicare?

Yes. Long Island Kidney Care PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Long Island Kidney Care PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Long Island Kidney Care PC, in Nephrology and Nurse Practitioner. 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. Of these, 2 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 Long Island Kidney Care PC was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.