LONG BEACH FAMILY MEDICINE PC
NPI 1629299516
Family Medicine - Adult Medicine in Long Beach, NY
About Long Beach Family Medicine Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONG BEACH FAMILY MEDICINE PC (NPI 1629299516) is a healthcare organization registered as an adult medicine in Long Beach, New York and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sergey Kulikov, Pres., as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
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 33D0154159
Long Beach Family Medicine PC · Long Beach, NYFrequently 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 Long Beach Family Medicine PC's NPI number?
The NPI number for Long Beach Family Medicine PC is 1629299516. It was assigned to this organization in the NPPES registry on May 1, 2007.
Where is Long Beach Family Medicine PC located?
Long Beach Family Medicine PC is located at 10 Franklin Blvd Apt 102, Long Beach, NY 11561. The listed phone number is (516) 889-0100.
What is Long Beach Family Medicine PC's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.
Does Long Beach Family Medicine PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 33D0154159) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Long Beach Family Medicine PC was last updated on September 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Long Beach Family Medicine Pc · NPI 1629299516
Adult Medicine organization in Long Beach, New York. Organization record, active in the CMS NPPES registry since May 1, 2007.
## Identity
- **NPI:** 1629299516 (Entity type: Organization)
- **Enumerated:** May 1, 2007
- **Primary specialty:** Family Medicine - Adult Medicine · taxonomy 207QA0505X
- **Organization subpart:** No
- **Authorized official:** Sergey Kulikov, PRES.
## Practice location
- **Address:** 10 FRANKLIN BLVD APT 102, Long Beach, NY 11561-4511
- **Phone:** (516) 889-0100
## Record status
- **NPPES last updated:** September 25, 2015
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1629299516) · Data from the CMS NPPES public registry.