PRINE HEALTH MEDICAL GROUP, PLLC
NPI 1144790163
Internal Medicine - Nephrology in Manhasset, NY

Active since December 03, 2018CLIA Certified · 2 labs
1129 NORTHERN BLVD STE 101, MANHASSET, NY 11030(516) 365-5570(516) 365-5532 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 6, 2026, Jul 26, 2023, Jul 7, 2022 and 5 more (8 updates tracked since 2018).

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 1144790163), doing business as Prine Podiatry, is a healthcare organization registered as a nephrology in Manhasset, New York and active in the NPI registry since December 2018. The organization holds 2 active CLIA laboratory certificates, maintains 2 additional practice locations, and lists Adriana Toohey, Hr/credentialing, as its authorized official.

NPPES Registry Identity

NPI1144790163
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NamePRINE HEALTH MEDICAL GROUP, PLLC
Location Address1129 NORTHERN BLVD STE 101Manhasset, NY 11030-3022
Mailing Address1400 Old Country Rd Ste 101nWestbury, NY 11590-5119 · (516) 407-2727 · Fax (516) 387-9797
Fax(516) 365-5532
Organization SubpartNo
Authorized OfficialAdriana TooheyHr/credentialing · (516) 407-2727
Enumeration DateDecember 3, 2018
Last NPPES UpdateMay 6, 20268 updates tracked since enumeration
NPPES CertifiedMay 6, 2026
✔ NPI 1144790163 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.
1129 NORTHERN BLVD STE 101, Manhasset, NY 11030

Other Names 1

Doing Business AsPrine Podiatry

Secondary Practice Locations 2

Location 127111 76th AveNew Hyde Park, NY 11040-1436 · Phone (516) 387-7463 · Fax (516) 260-6127
Location 2600 Northern Blvd Ste 115Great Neck, NY 11021-5200 · Phone (516) 482-8220 · Fax (516) 482-8221

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)

Prine Health Medical Group, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

103

Medicare enrollment records show 103 clinicians reassign Medicare billing to Prine Health Medical Group, PLLC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 63 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 17

Nurse Practitioner25
Nephrology24
Internal Medicine14
Podiatry10
Endocrinology6
Diagnostic Radiology4
Rheumatology4
Registered Dietitian or Nutrition Professional3
9 other specialties13

Nearest to this location (20)

See all 103
Nurse Practitioner
NPI 1457996241
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1194721191
1129 NORTHERN BLVD SUITE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1336515147
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1417536467
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1679059307
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1285839274
1129 NORTHERN BLVD SUITE #101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1205288917
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Rheumatology
NPI 1649564295
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
(516) 407-2727
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1770589285
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1508421363
1129 NORTHERN BLVD
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1649446766
1129 NORTHERN BLVD STE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1841214756
1129 NORTHERN BLVD SUITE 101
Manhasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts MedicareSame address
Endocrinology
NPI 1679533434
1155 NORTHERN BLVD
Manhasset, NY 11030
(516) 407-4000
✔ PECOS✔ Accepts MedicareSame address
Podiatry
NPI 1538151667
1165 NORTHERN BLVD SUITE 301
Manhasset, NY 11030
(516) 365-4545
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1396350427
1129 NORTHEN BLVD, SUITE 101
Mannasset, NY 11030
(516) 365-5570
✔ PECOS✔ Accepts Medicare0.5 mi
Rheumatology
NPI 1326426966
45 ORCHARD ST
Manhasset, NY 11030
(516) 365-1700
✔ PECOS✔ Accepts Medicare0.6 mi
Vascular Surgery
NPI 1184601072
600 NORTHERN BLVD SUITE 115
Great Neck, NY 11021
(516) 482-8220
✔ PECOS✔ Accepts Medicare0.9 mi
Podiatry
NPI 1548265788
560 NORTHERN BLVD. SUITE 210
Great Neck, NY 11021
(516) 482-8826
✔ PECOS✔ Accepts Medicare1.0 mi
Podiatry
NPI 1194840496
7 BOND ST
Great Neck, NY 11021
(516) 482-5999
✔ PECOS✔ Accepts Medicare1.2 mi
Internal Medicine
NPI 1447210703
488 GREAT NECK RD STE 200
Great Neck, NY 11021
(516) 482-6747
✔ PECOS✔ Accepts Medicare1.8 mi
See all 103 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 33D2303771

Prine Health Medical Group, PLLC · Plainview, NY
Active · expires Apr 30, 2028
CLIA Number33D2303771
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorDr. Simon E. Prince
Laboratory Phone(516) 407-2727
Laboratory LocationPrine Health Medical Group, PLLC524 Old Country Road, Plainview, NY 11803
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 33D2303773

Prine Health Medical Group, PLLC · Garden City, NY
Active · expires Apr 30, 2028
CLIA Number33D2303773
Laboratory TypePhysician Office
Certificate Effective DateMay 1, 2026
Certificate Expiration DateApril 30, 2028
Laboratory DirectorDr. Tarek Sallam
Laboratory Phone(516) 407-2727
Laboratory LocationPrine Health Medical Group, PLLC877 Stewart Avenue, Suite 16, Garden City, NY 11530
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 1144790163. It was assigned to this organization in the NPPES registry on December 3, 2018. The provider is doing business as PRINE Podiatry.

Where is Prine Health Medical Group, PLLC located?

Prine Health Medical Group, PLLC is located at 1129 Northern Blvd Ste 101, Manhasset, NY 11030. 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 Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Prine Health Medical Group, PLLC enrolled in Medicare?

Yes. Prine Health Medical Group, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prine Health Medical Group, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 103 clinicians in 17 Medicare specialties reassign their Medicare billing to Prine Health Medical Group, 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 (25), Nephrology (24) and Internal Medicine (14). Of these, 13 practice at this address and 63 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.