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PRINE HEALTH MEDICAL GROUP, PLLC
NPI 1285334623
Podiatrist in Great Neck, NY

Active since March 06, 2023
560 NORTHERN BLVD STE 210, GREAT NECK, NY 11021(516) 482-8826(516) 482-8828 Get Directions Write a Review

NPPES record last updated: March 6, 2023. Verified against the NPPES registry weekly; last sync: November 08, 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 1285334623), doing business as Prine Podiatry, is a healthcare organization registered as a podiatrist in Great Neck, New York and active in the NPI registry since March 2023. The organization lists Elisa Sloth, Operations Project Manager, as its authorized official.

NPPES Registry Identity

NPI1285334623
Entity TypeOrganization
Primary Taxonomy213E00000X
Legal Business NamePRINE HEALTH MEDICAL GROUP, PLLC
Location Address560 NORTHERN BLVD STE 210Great Neck, NY 11021-5113
Mailing Address560 Northern Blvd Ste 210Great Neck, NY 11021-5113 · (516) 482-8826 · Fax (516) 482-8828
Phone(516) 482-8826
Fax(516) 482-8828
Organization SubpartNo
Authorized OfficialElisa SlothOperations Project Manager · (516) 856-2365
Enumeration DateMarch 6, 2023
NPPES CertifiedMarch 5, 2023
✔ NPI 1285334623 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.
560 NORTHERN BLVD STE 210, Great Neck, NY 11021
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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

Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status 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).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20230615000551DME · Physician - PodiatryDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

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 1285334623. It was assigned to this organization in the NPPES registry on March 6, 2023. The provider is doing business as PRINE Podiatry.

Where is Prine Health Medical Group, PLLC located?

Prine Health Medical Group, PLLC is located at 560 Northern Blvd Ste 210, Great Neck, NY 11021. The listed phone number is (516) 482-8826.

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

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

Is Prine Health Medical Group, PLLC enrolled in Medicare?

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

When is Prine Health Medical Group, PLLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare DME enrollment for this organization (New York, Physician - Podiatry) is due for revalidation by February 28, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

When was this NPI record last updated?

The NPPES record for Prine Health Medical Group, PLLC was last updated on March 6, 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.