- Medicare Primary Care in Roosevelt, NY

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is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Roosevelt, New York. The current practice location for is 380 Nassau Rd, Roosevelt, New York. For appointments, you can reach them via phone at (516) 571-8600. The mailing address for is 380 Nassau Rd, Roosevelt, New York and phone number is (516) 571-8600.

is licensed to practice in New York (license number 2908201R). The clinic also participates in the medicare program and its NPI number is 1396059499. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (516) 571-8600.

Contact Information

380 Nassau Rd
Roosevelt
NY 11575-1343
(516) 571-8600
Not Available

Map and Direction


Primary Care Clinic Profile

Full Name
SpecialityClinic/Center
Location380 Nassau Rd, Roosevelt, New York
Authorized Official Name and PositionDavid Nemiroff (EXECUTIVE DIRECTOR)
Authorized Official Contact5165464198
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address

380 Nassau Rd
Roosevelt
NY 11575-1343

Ph: (516) 571-8600
380 Nassau Rd
Roosevelt
NY 11575-1343

Ph: (516) 571-8600

NPI Details:

NPI Number1396059499
Provider Enumeration Date07/30/2010
Last Update Date02/14/2024

Medicare PECOS Information:

Medicare PECOS PAC ID5991970535
Medicare Enrollment IDO20120221000043

Medical Identifiers

Medical identifiers for such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396059499NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) 2908201R (New York)Primary

Reviews and Comments


Clinic/Center in Roosevelt, NY


Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 1 Wagner Ave, Roosevelt, NY 11575
Phone: 516-571-8600    Fax: 516-546-4154

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.