NASSIM MEDICAL, P.C.
NPI 1497290894
Internal Medicine - Sports Medicine in Flushing, NY

Active since December 21, 2016CLIA 33D0886064 · Waiver
138-48 ELDER AVE., FLUSHING, NY 11355(718) 321-9500 Get Directions Write a Review

NPPES record last updated: December 21, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nassim Medical, P.c. NPPES

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

NASSIM MEDICAL, P.C. (NPI 1497290894) is a healthcare organization registered as a sports medicine in Flushing, New York and active in the NPI registry since December 2016. The organization holds a CLIA Waiver certificate valid through May 11, 2028 and lists Roland Nassim, Physician, as its authorized official.

NPPES Registry Identity

NPI1497290894
Entity TypeOrganization
Primary Taxonomy207RS0010X
Legal Business NameNASSIM MEDICAL, P.C.
Location Address138-48 ELDER AVE.Flushing, NY 11355-4066
Mailing Address1000 Northern Blvd., Suite 375Great Neck, NY 11021-5312
Organization SubpartNo
Authorized OfficialRoland NassimPhysician · (718) 321-9500
Enumeration DateDecember 21, 2016
NPI 1497290894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
License Licensed in NY · 279137
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
Also ListedInternal MedicineTaxonomy 207R00000X · License 176223 (NY)
138-48 ELDER AVE., Flushing, NY 11355

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

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 33D0886064

Nassim Medical PC · Flushing, NY
Active · expires May 11, 2028
CLIA Number33D0886064
Laboratory TypePhysician Office
Certificate Effective DateMay 12, 2026
Certificate Expiration DateMay 11, 2028
Laboratory DirectorRoland Nassim
Laboratory Phone(718) 321-9500
Laboratory LocationNassim Medical PC138-48 Elder Ave, Flushing, NY 11355
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 Nassim Medical, P.C.'s NPI number?

The NPI number for Nassim Medical, P.C. is 1497290894. It was assigned to this organization in the NPPES registry on December 21, 2016.

Where is Nassim Medical, P.C. located?

Nassim Medical, P.C. is located at 138-48 Elder Ave., Flushing, NY 11355. The listed phone number is (718) 321-9500.

What is Nassim Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Does Nassim Medical, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0886064) is associated with this NPI, valid through May 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Nassim Medical, P.C. was last updated on December 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.