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NASSIM MEDICAL PC
NPI 1790038628
Internal Medicine in Great Neck, NY

Active since October 16, 2012CLIA 33D2274941 · Waiver
1000 NORTHERN BLVD STE 375, GREAT NECK, NY 11021(516) 773-3942(516) 734-0172 Get Directions Write a Review

NPPES record last updated: October 16, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nassim Medical Pc NPPES

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

NASSIM MEDICAL PC (NPI 1790038628) is a healthcare organization registered as an internal medicine in Great Neck, New York and active in the NPI registry since October 2012. The organization holds a CLIA Waiver certificate valid through January 11, 2027 and lists Roland Nassim, Owner/medical Director, as its authorized official.

NPPES Registry Identity

NPI1790038628
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNASSIM MEDICAL PC
Location Address1000 NORTHERN BLVD STE 375Great Neck, NY 11021-5312
Mailing Address1000 Northern Blvd Ste 375Great Neck, NY 11021-5312 · (516) 773-3942 · Fax (516) 734-0172
Phone(516) 773-3942
Fax(516) 734-0172
Organization SubpartNo
Authorized OfficialRoland NassimOwner/medical Director · (516) 773-3942
Enumeration DateOctober 16, 2012
✔ NPI 1790038628 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.
1000 NORTHERN BLVD STE 375, Great Neck, NY 11021
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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

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 33D2274941

Nassim Medical PC · Great Neck, NY
Active · expires Jan 11, 2027
CLIA Number33D2274941
Laboratory TypePhysician Office
Certificate Effective DateJanuary 12, 2025
Certificate Expiration DateJanuary 11, 2027
Laboratory DirectorRoland Nassim
Laboratory Phone(516) 773-3942
Laboratory LocationNassim Medical PC1000 Northern Blvd #375, Great Neck, NY 11021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RSN IMAGING LLC
Internal Medicine
1000 NORTHERN BLVD STE 375
GREAT NECK, NY 11021
Nassau County (516) 773-3942

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 PC's NPI number?

The NPI number for Nassim Medical PC is 1790038628. It was assigned to this organization in the NPPES registry on October 16, 2012.

Where is Nassim Medical PC located?

Nassim Medical PC is located at 1000 Northern Blvd Ste 375, Great Neck, NY 11021. The listed phone number is (516) 773-3942.

What is Nassim Medical PC's specialty?

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

Does Nassim Medical PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2274941) is associated with this NPI, valid through January 11, 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 Nassim Medical PC was last updated on October 16, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.