LONG ISLAND FQHC, INC.
NPI 1700242823
Counselor - Mental Health in Hicksville, NY
About Long Island Fqhc, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LONG ISLAND FQHC, INC. (NPI 1700242823) is a healthcare organization registered as a mental health in Hicksville, New York and active in the NPI registry since January 2016. The organization lists David Nemiroff, Executive Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Long Island Fqhc, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by December 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
107Medicare enrollment records show 107 clinicians reassign Medicare billing to Long Island FQHC, Inc., which bills Medicare for the services they deliver. Of these, 45 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 15
Nearest to this location (20)
See all 107East Meadow, NY 11554
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 Long Island FQHC, Inc.'s NPI number?
The NPI number for Long Island FQHC, Inc. is 1700242823. It was assigned to this organization in the NPPES registry on January 5, 2016.
Where is Long Island FQHC, Inc. located?
Long Island FQHC, Inc. is located at 950 S Oyster Bay Rd, Hicksville, NY 11801. The listed phone number is (516) 822-6111.
What is Long Island FQHC, Inc.'s specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Long Island FQHC, Inc. enrolled in Medicare?
Yes. Long Island FQHC, Inc. is registered in the Medicare PECOS enrollment system.
When is Long Island FQHC, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Long Island FQHC, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 107 clinicians in 15 Medicare specialties reassign their Medicare billing to Long Island FQHC, Inc.. 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. The largest specialties are Nurse Practitioner (28), Family Practice (20) and Clinical Social Worker (10). Of these, 45 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Long Island FQHC, Inc. accept?
Health plans from Anthem Blue Cross and Blue Shield and BlueCross BlueShield of Tennessee list Long Island FQHC, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Long Island FQHC, Inc. was last updated on January 5, 2016. 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 Island Fqhc, Inc. · NPI 1700242823
Mental Health organization in Hicksville, New York. Organization record, active in the CMS NPPES registry since January 5, 2016.
## Identity
- **NPI:** 1700242823 (Entity type: Organization)
- **Enumerated:** January 5, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **Organization subpart:** No
- **Authorized official:** David Nemiroff, EXECUTIVE DIRECTOR
## Practice location
- **Address:** 950 S OYSTER BAY RD, Hicksville, NY 11801-3510
- **Phone:** (516) 822-6111
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** December 31, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 107 clinicians in 15 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (28), Family Practice (20), Clinical Social Worker (10); 45 practice within 10 miles; [full list](https://npiprofile.com/npi/1700242823/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2016
---
Source: [NPI Profile](https://npiprofile.com/npi/1700242823) · Data from the CMS NPPES public registry.