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FAMILY MEDICAL PRACTICE OF LONG ISLAND P.C.
NPI 1972678183
Family Medicine in Amityville, NY

Active since November 22, 2006
221 BROADWAY, SUITE 207, AMITYVILLE, NY 11701(631) 786-5692(631) 368-4891 Get Directions Write a Review

NPPES record last updated: March 16, 2017. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family Medical Practice Of Long Island P.c. NPPES

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

FAMILY MEDICAL PRACTICE OF LONG ISLAND P.C. (NPI 1972678183) is a healthcare organization registered as a family medicine in Amityville, New York and active in the NPI registry since November 2006. The organization lists Robert Polofsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1972678183
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY MEDICAL PRACTICE OF LONG ISLAND P.C.
Location Address221 BROADWAY, SUITE 207Amityville, NY 11701-2780
Mailing AddressPo Box 230Massapequa, NY 11758-0230 · (631) 786-5692 · Fax (631) 368-4891
Phone(631) 786-5692
Fax(631) 368-4891
Organization SubpartNo
Authorized OfficialRobert PolofskyOwner · (631) 786-5692
Enumeration DateNovember 22, 2006
Last NPPES UpdateMarch 16, 2017
✔ NPI 1972678183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 168859
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.
221 BROADWAY, Amityville, NY 11701
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Other Identifiers 17

Other2C8087NY · Healthnet
Medicare PIN97F471NY
Other062449890NY · Great West
Other2849737NY · Cigna
Other6004917NY · Ghi
Other080142404NY · Medicare Rrb
Medicaid01558938NY
Medicare PINA100054045NY
OtherP398100NY · Oxford
Other168859-A10NY · Healthfirst
Other50767NY · Vytra
Other0490232NY · Aetna
OtherDA48747ANY · Mdny
Other0490232NY · Ushc
Other168859NY · Hip
Other21003100852NY · Beech Street
Other97F471NY · Blue Cross Blue Shield

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)

Family Medical Practice Of Long Island 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 Family Medical Practice Of Long Island P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Robert Polofsky
Family Practice
NPI 1902830557
221 BROADWAY SUITE 207
Amityville, NY 11701
(631) 598-0009
✔ 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 Family Medical Practice Of Long Island P.C.'s NPI number?

The NPI number for Family Medical Practice Of Long Island P.C. is 1972678183. It was assigned to this organization in the NPPES registry on November 22, 2006.

Where is Family Medical Practice Of Long Island P.C. located?

Family Medical Practice Of Long Island P.C. is located at 221 Broadway Suite 207, Amityville, NY 11701. The listed phone number is (631) 786-5692.

What is Family Medical Practice Of Long Island P.C.'s specialty?

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

Is Family Medical Practice Of Long Island P.C. enrolled in Medicare?

Yes. Family Medical Practice Of Long Island P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family Medical Practice Of Long Island P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Family Medical Practice Of Long Island 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 Family Medical Practice Of Long Island P.C. was last updated on March 16, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.