| Hicksville Family Medical Care, Pllc | |
|
232 W Old Country Rd Hicksville NY 11801-4011 | |
| (917) 366-1977 | |
| Not Available |
| Full Name | Hicksville Family Medical Care, Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 232 W Old Country Rd, Hicksville, New York |
| Authorized Official Name and Position | Sandeep Jain (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5167078846 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hicksville Family Medical Care, Pllc 1131 W Jefferson St # 365 Shorewood IL 60404-0701 Ph: () - | Hicksville Family Medical Care, Pllc 232 W Old Country Rd Hicksville NY 11801-4011 Ph: (917) 366-1977 |
| NPI Number | 1770813792 |
|---|---|
| Provider Enumeration Date | 01/14/2010 |
| Last Update Date | 06/08/2023 |
| Medicare PECOS PAC ID | 7416290564 |
|---|---|
| Medicare Enrollment ID | O20190514000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770813792 | NPI | - | NPPES |
| 01925539 | Medicaid | NY |
| Provider Name | Priti Jain |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1780607333 PECOS PAC ID: 5890788905 Enrollment ID: I20040405001773 |
| Provider Name | Aaron L Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1104837806 PECOS PAC ID: 9537129358 Enrollment ID: I20041015000786 |
| Provider Name | Sandeep Jain |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891738100 PECOS PAC ID: 8426004771 Enrollment ID: I20050330000026 |
| Provider Name | Michael O Ihemaguba |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1437230661 PECOS PAC ID: 4082623327 Enrollment ID: I20060413000279 |
| Provider Name | Jacqueline Storey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063446045 PECOS PAC ID: 0749287563 Enrollment ID: I20061108000438 |
| Provider Name | Christina Zhang |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1417193384 PECOS PAC ID: 1355408006 Enrollment ID: I20090820000324 |
| Provider Name | Vino K Palli |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1013080167 PECOS PAC ID: 6103806435 Enrollment ID: I20091007000361 |
| Provider Name | Tamara F. Moise |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1184884330 PECOS PAC ID: 1355491754 Enrollment ID: I20100923000005 |
| Provider Name | Laurie J Costello |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1376540435 PECOS PAC ID: 2466528518 Enrollment ID: I20101203000536 |
| Provider Name | Mansoor Farooki |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1811922123 PECOS PAC ID: 8729268479 Enrollment ID: I20110211000762 |
| Provider Name | Subhas Chandra |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518308220 PECOS PAC ID: 9931337540 Enrollment ID: I20140106000108 |
| Provider Name | Skylar E Stone |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538321435 PECOS PAC ID: 4880882927 Enrollment ID: I20140312001261 |
| Provider Name | Mark Petrovani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871758565 PECOS PAC ID: 2668646878 Enrollment ID: I20170426000874 |
| Provider Name | Mehrdad Soleimani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285049809 PECOS PAC ID: 5890065312 Enrollment ID: I20170717001437 |
| Provider Name | Johane Gildade Boursiquot |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1275801219 PECOS PAC ID: 2264675255 Enrollment ID: I20170808003114 |
| Provider Name | Christine Daza |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386069300 PECOS PAC ID: 0749511483 Enrollment ID: I20191011000428 |
| Provider Name | Darlene Maria Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588210561 PECOS PAC ID: 8729310370 Enrollment ID: I20191030003471 |
| Provider Name | Brocha Newman |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1740725233 PECOS PAC ID: 1153749932 Enrollment ID: I20200910001095 |
| Provider Name | Nnamdi Uwakwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700492436 PECOS PAC ID: 7810308392 Enrollment ID: I20201206000000 |
| Provider Name | Stephanie Renee Fuller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780138305 PECOS PAC ID: 2668748369 Enrollment ID: I20201228001632 |
| Provider Name | Dayakishan Chahal |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1902327034 PECOS PAC ID: 5597019315 Enrollment ID: I20210113000687 |
| Provider Name | Beulah Anne Abraham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1659803237 PECOS PAC ID: 9234476334 Enrollment ID: I20210204002754 |
| Provider Name | Melissa Darlow |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1124740576 PECOS PAC ID: 2961888243 Enrollment ID: I20221011000764 |
| Provider Name | Verenisse Torres |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386202216 PECOS PAC ID: 3476888595 Enrollment ID: I20221017001727 |
| Provider Name | Tamara M Henry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841743911 PECOS PAC ID: 5597008987 Enrollment ID: I20221106000024 |
| Provider Name | Kandis Mclean |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619637485 PECOS PAC ID: 4082082011 Enrollment ID: I20221123002043 |
| Provider Name | Bene Aneke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407380363 PECOS PAC ID: 8325306541 Enrollment ID: I20230920000644 |
| Provider Name | Anu John |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881119840 PECOS PAC ID: 2264888072 Enrollment ID: I20231031002629 |
Care Community Medical Manhattan Central Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Duffy Ave Ste 510, Hicksville, NY 11801 Phone: 888-829-8550 | |
Theodore Allen Physician, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 92 E Old Country Rd, Hicksville, NY 11801 Phone: 516-681-2700 Fax: 516-681-7115 | |
Care Community Medical Long Island West Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Duffy Ave Ste 510, Hicksville, NY 11801 Phone: 888-829-8550 | |
Gerard J. Cusa M.d., Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 S Oyster Bay Rd, Suite 302, Hicksville, NY 11801 Phone: 516-939-0164 Fax: 516-939-0165 | |
Care Community Medical Long Island East Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Duffy Ave Ste 510, Hicksville, NY 11801 Phone: 888-829-8550 | |
Alliance Family Medical Practice, P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 183 Broadway Ste 308, Hicksville, NY 11801 Phone: 516-486-0094 Fax: 516-486-0110 | |
Caer Community Medical Long Island Central Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Duffy Ave Ste 510, Hicksville, NY 11801 Phone: 888-829-8550 |