HICKSVILLE FAMILY MEDICAL CARE, PLLC (NPI# 1770813792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770813792 |
| Entity Type | Organization |
| Organization Name | HICKSVILLE FAMILY MEDICAL CARE, PLLC |
| Practice Address |
232 W Old Country Rd Hicksville NY 11801 |
| Mailing Address |
1131 W Jefferson St # 365 Shorewood IL 60404-0701 |
| Practice Telephone | 3478088830 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2018-08-18 |
| Authorized Official Name | DR. SANDEEP JAIN (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 5169381550 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 234975 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01925539 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 412 S Broadway, Hicksville, NY 118015009 | 5169381550 | 5169381554 |
| Street Address |
232 W OLD COUNTRY RD |
| City | HICKSVILLE |
| State | NY |
| Zip Code | 11801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891738100 | Sandeep Jain | Internal Medicine | 232 W Old Country Rd, Hicksville, NY 11801-4011 | 2006-06-14 |
| 1447781802 | Doris Chiu | Nurse Practitioner | 232 W Old Country Rd, Hicksville, NY 11801-4011 | 2017-03-27 |
| 1790174886 | Li Podiatry Pllc | Podiatrist | 232 W Old Country Rd, Hicksville, NY 11801-4011 | 2015-01-13 |
| 1306172044 | Aditi V Patel | Physician Assistant | 232 W Old Country Rd, Hicksville, NY 11801-4011 | 2009-11-01 |
| 1154530152 | Carol Weber IIi | Optometrist | 232 W Old Country Rd, Hicksville, NY 11801-4011 | 2007-05-22 |
| 1922174903 | General Vision Services LLC | Preferred Provider Organization | 232 W Old Country Rd, Hicksville, NY 11801-4011 | 2006-11-28 |
| 1780607333 | Priti Jain | Internal Medicine | 232 W Old Country Rd, Hicksville, NY 11801-4011 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588296222 | Princy John | Registered Nurse | 19 Utica Ave, Hicksville, NY 11801 | 2020-02-11 |
| 1558920314 | Alvin Varkey | Registered Nurse | 1 Hastings Lane, Hicksville, NY 11801 | 2019-06-06 |
| 1033680152 | Chaolin Fu | Physical Therapist | 4 Savoy Place, Hicksville, NY 11801 | 2018-12-16 |
| 1902373954 | Linda Alagna | Massage Therapist | 21 Michigan Dr, Hicksville, NY 11801 | 2018-10-29 |
| 1336621523 | Christina Doyle | Early Intervention Provider Agency | 22 April Lane, Hicksville, NY 11801 | 2018-09-04 |
| 1376023325 | Jessica Lyons | Specialist | 128 5th Ave, Hicksville, NY 11801 | 2018-08-20 |
| 1881180404 | Laura Veronica Cevallos | Early Intervention Provider Agency | 67 Lee Ave, Hicksville, NY 11801 | 2018-07-06 |
| 1942719810 | David Collins | Behavioral Analyst | 431 Division Avenue, Hicksville, NY 11801 | 2017-09-23 |
| 1285159756 | James Daconti | Social Worker | 100 Duffy Ave Ste 510, Hicksville, NY 11801 | 2017-08-07 |
| 1306376918 | Emily Miracolo | Specialist | 9 Waters Ave, Hicksville, NY 11801 | 2017-06-15 |
| Find all providers in zip 11801 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154773588 | Sharmila Gabriel | Internal Medicine | 326 New South Rd, Hicksville, NY 11801-5221 | 2016-07-09 |
| 1851636351 | Remedial Primary Medical Care, PC | Internal Medicine | 252 W Old Country Rd, Hicksville, NY 11801-4011 | 2012-12-10 |
| 1083912216 | Theodore Allen Physician, PC | Internal Medicine | 92 E Old Country Rd, Hicksville, NY 11801-4217 | 2011-03-11 |
| 1689868820 | David Lotfi, Md, PC | Internal Medicine | 188 Woodbury Rd, Hicksville, NY 11801-3024 | 2007-08-30 |
| 1275693467 | Kyung Ok Kim | Internal Medicine | 2 Woodbury Court, Hicksville, NY 11801-3159 | 2006-12-11 |
| 1538228390 | Lei Wong | Internal Medicine | 16 E John St, Hicksville, NY 11801-1310 | 2006-12-07 |
| 1578632865 | Mario A Ragusa | Internal Medicine | 105 Newbridge Rd, Hicksville, NY 11801 | 2006-11-08 |
| 1720170400 | Hicksville Medical Care, PC | Internal Medicine | 117 Newbridge Rd, Hicksville, NY 11801-3908 | 2006-09-29 |
| 1225135619 | David Schwartz | Internal Medicine | 43 Barter Ln, Hicksville, NY 11801-3904 | 2006-09-20 |
| 1730285800 | David G. Schwartz, Internal Medicine, P.C. | Internal Medicine | 43 Barter Lane, Hicksville, NY 11801 | 2006-09-16 |
| Find all providers in HICKSVILLE | ||||
| City | HICKSVILLE |
| Zip Code | 11801 |
Please comment or provide details below to improve the information on HICKSVILLE FAMILY MEDICAL CARE, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.