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210 MINEOLA MEDICAL PC
NPI 1821566969
Family Medicine in Mineola, NY

Active since November 07, 2018
210 OLD COUNTRY RD, MINEOLA, NY 11501(516) 279-4400 Get Directions Write a Review

NPPES record last updated: November 7, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 210 Mineola Medical Pc NPPES

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

210 MINEOLA MEDICAL PC (NPI 1821566969) is a healthcare organization registered as a family medicine in Mineola, New York and active in the NPI registry since November 2018. The organization lists Irena Musheev, Credentialing Coordinator, as its authorized official.

NPPES Registry Identity

NPI1821566969
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business Name210 MINEOLA MEDICAL PC
Location Address210 OLD COUNTRY RDMineola, NY 11501-4218
Mailing Address211 Broadway Ste 205Lynbrook, NY 11563-3290
Phone(516) 279-4400
Organization SubpartNo
Authorized OfficialIrena MusheevCredentialing Coordinator · (516) 612-9837
Enumeration DateNovember 7, 2018
✔ NPI 1821566969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 OLD COUNTRY RD, Mineola, NY 11501
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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

Other Providers at the Same Location NPPES 2

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

CHRISTINA JOSEPHINE MEGERIAN NP
Nurse Practitioner (Family)
210 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 279-4400
ELCY SANTOSH FNP
Nurse Practitioner (Family)
210 OLD COUNTRY RD
MINEOLA, NY 11501
Nassau County (516) 279-4400

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 210 Mineola Medical PC's NPI number?

The NPI number for 210 Mineola Medical PC is 1821566969. It was assigned to this organization in the NPPES registry on November 7, 2018.

Where is 210 Mineola Medical PC located?

210 Mineola Medical PC is located at 210 Old Country Rd, Mineola, NY 11501. The listed phone number is (516) 279-4400.

What is 210 Mineola Medical PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for 210 Mineola Medical PC was last updated on November 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.