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LI/QUEENS MEDICAL ASSOCIATES, PC
NPI 1649429010
Specialist in Mineola, NY

Active since September 10, 2008
300 OLD COUNTRY RD STE 211, MINEOLA, NY 11501(516) 280-2599 Get Directions Write a Review

NPPES record last updated: November 3, 2009. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Li/queens Medical Associates, Pc NPPES

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

LI/QUEENS MEDICAL ASSOCIATES, PC (NPI 1649429010) is a healthcare organization registered as a specialist in Mineola, New York and active in the NPI registry since September 2008. The organization lists Janet Casiano, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1649429010
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameLI/QUEENS MEDICAL ASSOCIATES, PC
Location Address300 OLD COUNTRY RD STE 211Mineola, NY 11501-4112
Mailing Address300 Old Country Rd Ste 211Mineola, NY 11501-4112 · (516) 280-2599
Phone(516) 280-2599
Organization SubpartNo
Authorized OfficialJanet CasianoBilling Manager · (516) 280-2599
Enumeration DateSeptember 10, 2008
Last NPPES UpdateNovember 3, 2009
✔ NPI 1649429010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 OLD COUNTRY RD STE 211, Mineola, NY 11501
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Other Identifiers 1

Medicare PINA100000882NY

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)

Li/queens Medical Associates, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Li/Queens Medical Associates, PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Vita Cucchiara
Family Practice
NPI 1346401205
300 OLD COUNTRY RD SUITE 211
Mineola, NY 11501
(516) 280-2599
✔ PECOS✔ Accepts MedicareSame address
Michael Petelis, DO
Internal Medicine
NPI 1699861237
300 OLD COUNTRY RD SUITE 211
Mineola, NY 11501
(516) 280-2599
✔ 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.

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 Li/Queens Medical Associates, PC's NPI number?

The NPI number for Li/Queens Medical Associates, PC is 1649429010. It was assigned to this organization in the NPPES registry on September 10, 2008.

Where is Li/Queens Medical Associates, PC located?

Li/Queens Medical Associates, PC is located at 300 Old Country Rd Ste 211, Mineola, NY 11501. The listed phone number is (516) 280-2599.

What is Li/Queens Medical Associates, PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Li/Queens Medical Associates, PC enrolled in Medicare?

Yes. Li/Queens Medical Associates, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Li/Queens Medical Associates, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Li/Queens Medical Associates, PC, in Family Practice and Internal Medicine. 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. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Li/Queens Medical Associates, PC was last updated on November 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.