37 MAIN STREET MEDICAL CARE PC
NPI 1366208639
Internal Medicine in Merrick, NY

Q: What is 37 Main Street Medical Care PC's NPI number?

The NPI number for 37 Main Street Medical Care PC is 1366208639. It was assigned to this organization in the NPPES registry on February 26, 2024. The provider is doing business as MainStreet Med.

Q: What is 37 Main Street Medical Care PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since February 26, 2024

2094 MERRICK AVE, MERRICK, NY 11566(516) 600-0676(516) 863-2963 Get Directions Write a Review

NPPES record last updated: September 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About 37 Main Street Medical Care Pc NPPES

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

37 MAIN STREET MEDICAL CARE PC (NPI 1366208639), doing business as Mainstreet Med, is a healthcare organization registered as an internal medicine in Merrick, New York and active in the NPI registry since February 2024. The organization maintains a secondary practice location in Richmond Hill and lists Kamran Siddiqui, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1366208639

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business Name37 MAIN STREET MEDICAL CARE PC

Location Address2094 MERRICK AVEMerrick, NY 11566-3147

Mailing Address2094 Merrick AveMerrick, NY 11566-3147 · (516) 600-0676 · Fax (718) 709-4282

Phone(516) 600-0676

Fax(516) 863-2963

Organization SubpartNo

Authorized OfficialKamran SiddiquiChief Executive Officer · (516) 600-0676

Enumeration DateFebruary 26, 2024

Last NPPES UpdateSeptember 19, 2025

NPPES CertifiedSeptember 19, 2025

✔ NPI 1366208639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 7

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

2094 MERRICK AVE, Merrick, NY 11566

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Other Names 1

Doing Business AsMainstreet Med

Secondary Practice Location 1

Location 111605 Myrtle AveRichmond Hill, NY 11418-1749 · Phone (516) 600-0676 · Fax (516) 863-2963

Other Identifiers 1

Medicaid02473412NY

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

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.

MR. MICHAEL C POLISENO APN

Nurse Practitioner (Family)