| 54 Main Street Medical Practice Pc | |
|
129 Jackson St Hempstead NY 11550-2412 | |
| (516) 538-4531 | |
| (516) 292-6287 |
| Full Name | 54 Main Street Medical Practice Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 129 Jackson St, Hempstead, New York |
| Authorized Official Name and Position | Richard Addes (OWNER) |
| Authorized Official Contact | 5165938953 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 54 Main Street Medical Practice Pc 2965 Long Beach Rd Oceanside NY 11572-3255 Ph: (516) 593-8953 | 54 Main Street Medical Practice Pc 129 Jackson St Hempstead NY 11550-2412 Ph: (516) 538-4531 |
| NPI Number | 1386711497 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 10/21/2021 |
| Medicare PECOS PAC ID | 0244217511 |
|---|---|
| Medicare Enrollment ID | O20040706000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386711497 | NPI | - | NPPES |
| 02757440 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Bernardo Fernandez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1134188782 PECOS PAC ID: 5799776431 Enrollment ID: I20040522000113 |
| Provider Name | Richard L Addes |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861569964 PECOS PAC ID: 8022067149 Enrollment ID: I20050115000047 |
| Provider Name | Carletta Stackhouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750743746 PECOS PAC ID: 1254618077 Enrollment ID: I20170425002065 |
| Provider Name | Eric Goldstein |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1447336656 PECOS PAC ID: 2264719913 Enrollment ID: I20170505000089 |
| Provider Name | Jacqueline Nicolas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366848038 PECOS PAC ID: 2668759994 Enrollment ID: I20170515001418 |
| Provider Name | Hakimah Beebe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538573134 PECOS PAC ID: 8921363938 Enrollment ID: I20180522001932 |
| Provider Name | Marie Natacha Dieudonne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447783303 PECOS PAC ID: 4082953732 Enrollment ID: I20190225002602 |
| Provider Name | Payal Patel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811549355 PECOS PAC ID: 8729477591 Enrollment ID: I20211116003000 |
The Gastroenterology Practice Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 75 Washington St, Hempstead, NY 11550 Phone: 516-884-3032 | |
Nassau Health Care Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Main St, Hempstead, NY 11550 Phone: 516-486-6862 | |
Anil S Patel,internalmedicine,p.c. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 50 Clinton St Ste 606a, Hempstead, NY 11550 Phone: 516-489-6700 | |
Garden City Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Hilton Ave, Suite# 20, Hempstead, NY 11550 Phone: 516-565-2060 Fax: 516-479-2125 | |
Marc Adler Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Hilton Ave, Suite 213, Hempstead, NY 11550 Phone: 516-538-0300 Fax: 516-292-3589 | |
George S. Stoica, Md, Fccp, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 230 Hilton Ave, 213, Hempstead, NY 11550 Phone: 516-292-3587 Fax: 516-292-3589 | |
Fegs Health And Human Services System Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 175 Fulton Ave, 3rd Fl., Hempstead, NY 11550 Phone: 516-485-5710 Fax: 516-485-4225 |