GREAT NECK NY MEDICAL PLLC
NPI 1386595932
Clinic/Center in Great Neck, NY

Active since February 09, 2026
255 GREAT NECK RD APT 502, GREAT NECK, NY 11021(516) 660-6344 Get Directions Write a Review

NPPES record last updated: February 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Great Neck Ny Medical Pllc NPPES

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

GREAT NECK NY MEDICAL PLLC (NPI 1386595932) is a healthcare organization registered as a clinic/center in Great Neck, New York and active in the NPI registry since February 2026. The organization lists Maekal Elyasi, Member, as its authorized official.

NPPES Registry Identity

NPI1386595932
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGREAT NECK NY MEDICAL PLLC
Location Address255 GREAT NECK RD APT 502Great Neck, NY 11021-3362
Mailing Address255 Great Neck Rd Apt 502Great Neck, NY 11021-3362 · (516) 660-6344
Organization SubpartNo
Authorized OfficialMaekal ElyasiMember · (516) 660-6344
Enumeration DateFebruary 9, 2026
NPPES CertifiedFebruary 8, 2026
✔ NPI 1386595932 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
255 GREAT NECK RD APT 502, Great Neck, NY 11021

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Great Neck Ny Medical Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Great Neck Ny Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1821441890
1155 NORTHERN BLVD
Manhasset, NY 11030
(516) 407-4000
✔ PECOS✔ Accepts Medicare1.7 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 Great Neck Ny Medical PLLC's NPI number?

The NPI number for Great Neck Ny Medical PLLC is 1386595932. It was assigned to this organization in the NPPES registry on February 9, 2026.

Where is Great Neck Ny Medical PLLC located?

Great Neck Ny Medical PLLC is located at 255 Great Neck Rd Apt 502, Great Neck, NY 11021. The listed phone number is (516) 660-6344.

What is Great Neck Ny Medical PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Great Neck Ny Medical PLLC enrolled in Medicare?

Yes. Great Neck Ny Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Great Neck Ny Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Great Neck Ny Medical 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Great Neck Ny Medical PLLC was last updated on February 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.