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ISLANDER CARE MEDICAL PLLC
NPI 1407699887
Internal Medicine in Hicksville, NY

Active since June 14, 2024CLIA 33D2321323 · Waiver
120 BETHPAGE RD STE 204, HICKSVILLE, NY 11801(718) 866-0350 Get Directions Write a Review

NPPES record last updated: November 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Jul 17, 2024, Jun 14, 2024 (3 updates tracked since 2024).

About Islander Care Medical Pllc NPPES

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

ISLANDER CARE MEDICAL PLLC (NPI 1407699887) is a healthcare organization registered as an internal medicine in Hicksville, New York and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through April 1, 2027 and lists Zhongju Lu, Owner, as its authorized official.

NPPES Registry Identity

NPI1407699887
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameISLANDER CARE MEDICAL PLLC
Location Address120 BETHPAGE RD STE 204Hicksville, NY 11801-1515
Mailing Address120 Bethpage Rd Ste 204Hicksville, NY 11801-1515
Phone(718) 866-0350
Organization SubpartNo
Authorized OfficialZhongju LuOwner · (718) 866-0350
Enumeration DateJune 14, 2024
Last NPPES UpdateNovember 4, 20243 updates tracked since enumeration
NPPES CertifiedNovember 4, 2024
✔ NPI 1407699887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
120 BETHPAGE RD STE 204, Hicksville, NY 11801
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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)

Islander Care 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 Islander Care Medical PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Zhongju Lu, M.D.
Internal Medicine
NPI 1992124358
120 BETHPAGE RD STE 204
Hicksville, NY 11801
(718) 866-0350
✔ PECOS✔ Accepts MedicareSame address

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

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 33D2321323

Islander Care Medical PLLC · Hicksville, NY
Active · expires Apr 1, 2027
CLIA Number33D2321323
Laboratory TypePhysician Office
Certificate Effective DateApril 2, 2025
Certificate Expiration DateApril 1, 2027
Laboratory DirectorZhongju Lu
Laboratory Phone(718) 866-0350
Laboratory LocationIslander Care Medical PLLC120 Bethpage Road Ste 204, Hicksville, NY 11801
CLIA data matches this NPI record on: Address 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 Islander Care Medical PLLC's NPI number?

The NPI number for Islander Care Medical PLLC is 1407699887. It was assigned to this organization in the NPPES registry on June 14, 2024.

Where is Islander Care Medical PLLC located?

Islander Care Medical PLLC is located at 120 Bethpage Rd Ste 204, Hicksville, NY 11801. The listed phone number is (718) 866-0350.

What is Islander Care Medical PLLC's specialty?

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

Is Islander Care Medical PLLC enrolled in Medicare?

Yes. Islander Care Medical PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Islander Care Medical PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Islander Care 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.

Does Islander Care Medical PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2321323) is associated with this NPI, valid through April 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Islander Care Medical PLLC was last updated on November 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.