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54 MAIN STREET MEDICAL PRACTICE PC
NPI 1386711497
Family Medicine in Hempstead, NY

Active since November 30, 2006
129 JACKSON ST, HEMPSTEAD, NY 11550(516) 538-4531(516) 292-6287 Get Directions Write a Review

NPPES record last updated: October 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 54 Main Street Medical Practice Pc NPPES

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

54 MAIN STREET MEDICAL PRACTICE PC (NPI 1386711497) is a healthcare organization registered as a family medicine in Hempstead, New York and active in the NPI registry since November 2006. The organization lists Richard Addes, Owner, as its authorized official.

NPPES Registry Identity

NPI1386711497
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name54 MAIN STREET MEDICAL PRACTICE PC
Location Address129 JACKSON STHempstead, NY 11550-2412
Mailing Address2965 Long Beach RdOceanside, NY 11572-3255 · (516) 593-8953 · Fax (516) 292-6287
Phone(516) 538-4531
Fax(516) 292-6287
Organization SubpartNo
Authorized OfficialRichard AddesOwner · (516) 593-8953
Enumeration DateNovember 30, 2006
Last NPPES UpdateOctober 21, 2021
NPPES CertifiedOctober 21, 2021
✔ NPI 1386711497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
129 JACKSON ST, Hempstead, NY 11550
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Other Identifiers 1

Medicaid02757440NY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDWIDGE D DESGRAVES
Nurse Practitioner (Adult Health)
129 JACKSON ST
HEMPSTEAD, NY 11550
Nassau County (212) 695-5122

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 54 Main Street Medical Practice PC's NPI number?

The NPI number for 54 Main Street Medical Practice PC is 1386711497. It was assigned to this organization in the NPPES registry on November 30, 2006.

Where is 54 Main Street Medical Practice PC located?

54 Main Street Medical Practice PC is located at 129 Jackson St, Hempstead, NY 11550. The listed phone number is (516) 538-4531.

What is 54 Main Street Medical Practice PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for 54 Main Street Medical Practice PC was last updated on October 21, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.