INTERNAL MEDICINE SPECIALIST OF NEW YORK P.C
NPI 1871947895
Specialist in Manhasset, NY

Active since April 15, 2016
300 COMMUNITY DR, MANHASSET, NY 11030(516) 562-0100(631) 719-2220 Get Directions Write a Review

NPPES record last updated: April 15, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Internal Medicine Specialist Of New York P.c NPPES

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

INTERNAL MEDICINE SPECIALIST OF NEW YORK P.C (NPI 1871947895) is a healthcare organization registered as a specialist in Manhasset, New York and active in the NPI registry since April 2016. The organization lists Mairaj Ud Din, Md, as its authorized official.

NPPES Registry Identity

NPI1871947895
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameINTERNAL MEDICINE SPECIALIST OF NEW YORK P.C
Location Address300 COMMUNITY DRManhasset, NY 11030-3816
Mailing Address7 Talley RdRoslyn, NY 11576-2530 · (516) 633-6772
Fax(631) 719-2220
Organization SubpartNo
Authorized OfficialMairaj Ud DinMd · (516) 633-6772
Enumeration DateApril 15, 2016
✔ NPI 1871947895 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 236531
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 COMMUNITY DR, Manhasset, NY 11030

Other Identifiers 1

Other236531NY · License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Internal Medicine Specialist Of New York P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Internal Medicine Specialist Of New York P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1609804319
800 AXINN AVE
Garden City, NY 11530
(646) 680-2894
✔ PECOS✔ Accepts Medicare5.6 mi

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 Internal Medicine Specialist Of New York P.C's NPI number?

The NPI number for Internal Medicine Specialist Of New York P.C is 1871947895. It was assigned to this organization in the NPPES registry on April 15, 2016.

Where is Internal Medicine Specialist Of New York P.C located?

Internal Medicine Specialist Of New York P.C is located at 300 Community Dr, Manhasset, NY 11030. The listed phone number is (516) 562-0100.

What is Internal Medicine Specialist Of New York P.C's specialty?

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

Is Internal Medicine Specialist Of New York P.C enrolled in Medicare?

Yes. Internal Medicine Specialist Of New York P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Internal Medicine Specialist Of New York P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Internal Medicine Specialist Of New York P.C. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Internal Medicine Specialist Of New York P.C was last updated on April 15, 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.