Hicksville Family Medical Care, Pllc - Medicare Primary Care in Mineola, NY

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Hicksville Family Medical Care, Pllc is a medicare enrolled primary clinic (Family Medicine) in Mineola, New York. The current practice location for Hicksville Family Medical Care, Pllc is 135 Mineola Blvd Ste B, Mineola, New York. For appointments, you can reach them via phone at (917) 410-6990. The mailing address for Hicksville Family Medical Care, Pllc is 135 Mineola Blvd Ste B, Mineola, New York and phone number is (917) 410-6990.

Hicksville Family Medical Care, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1770813792. 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 (917) 410-6990.

Contact Information

Hicksville Family Medical Care, Pllc
135 Mineola Blvd Ste B
Mineola
NY 11501-3917
(917) 410-6990
(516) 938-1554

Map and Direction


Primary Care Clinic Profile

Full NameHicksville Family Medical Care, Pllc
SpecialityFamily Medicine
Location135 Mineola Blvd Ste B, Mineola, New York
Authorized Official Name and PositionSandeep Jain (MEDICAL DIRECTOR)
Authorized Official Contact5167078846
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Hicksville Family Medical Care, Pllc
135 Mineola Blvd Ste B
Mineola
NY 11501-3917

Ph: (917) 410-6990		Hicksville Family Medical Care, Pllc
135 Mineola Blvd Ste B
Mineola
NY 11501-3917

Ph: (917) 410-6990

NPI Details:

NPI Number1770813792
Provider Enumeration Date01/14/2010
Last Update Date02/26/2026

Medicare PECOS Information:

Medicare PECOS PAC ID7416290564
Medicare Enrollment IDO20190514000263

Medical Identifiers

Medical identifiers for Hicksville Family Medical Care, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770813792NPI-NPPES
05716550MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (* (Not Available))Primary
251E00000XHome Health (* (Not Available))Secondary
251S00000XCommunity/behavioral Health (* (Not Available))Secondary
261Q00000XClinic/center (* (Not Available))Secondary
261QC1800XClinic/center - Corporate Health (* (Not Available))Secondary
261QE0002XClinic/center - Emergency Care (* (Not Available))Secondary
261QH0100XClinic/center - Health Service (* (Not Available))Secondary
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM0850XClinic/center - Adult Mental Health (* (Not Available))Secondary
261QM0855XClinic/center - Adolescent And Children Mental Health (* (Not Available))Secondary
261QM1000XClinic/center - Migrant Health (* (Not Available))Secondary
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
261QP2400XClinic/center - Prison Health (* (Not Available))Secondary
261QR0405XClinic/center - Rehabilitation, Substance Use Disorder (* (Not Available))Secondary
261QS1000XClinic/center - Student Health (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Hicksville Family Medical Care, Pllc acts as a billing entity for following providers:
Provider NamePriti Jain
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780607333
PECOS PAC ID: 5890788905
Enrollment ID: I20040405001773
Provider NameAaron L Stone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1104837806
PECOS PAC ID: 9537129358
Enrollment ID: I20041015000786
Provider NameSandeep Jain
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1891738100
PECOS PAC ID: 8426004771
Enrollment ID: I20050330000026
Provider NameMichael O Ihemaguba
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1437230661
PECOS PAC ID: 4082623327
Enrollment ID: I20060413000279
Provider NameJacqueline Storey
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1063446045
PECOS PAC ID: 0749287563
Enrollment ID: I20061108000438
Provider NameMarsha A Williamson
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265552277
PECOS PAC ID: 0749355394
Enrollment ID: I20080818000330
Provider NameChristina Zhang
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1417193384
PECOS PAC ID: 1355408006
Enrollment ID: I20090820000324
Provider NameVino K Palli
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013080167
PECOS PAC ID: 6103806435
Enrollment ID: I20091007000361
Provider NameRakesh Koul
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124161799
PECOS PAC ID: 3779615893
Enrollment ID: I20100724000105
Provider NameTamara F. Moise
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1184884330
PECOS PAC ID: 1355491754
Enrollment ID: I20100923000005
Provider NameLaurie J Costello
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1376540435
PECOS PAC ID: 2466528518
Enrollment ID: I20101203000536
Provider NameMansoor Farooki
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1811922123
PECOS PAC ID: 8729268479
Enrollment ID: I20110211000762
Provider NameBarbara Phillips Cole
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1679598726
PECOS PAC ID: 8022091917
Enrollment ID: I20131223000001
Provider NameSubhas Chandra
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1518308220
PECOS PAC ID: 9931337540
Enrollment ID: I20140106000108
Provider NameSkylar E Stone
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538321435
PECOS PAC ID: 4880882927
Enrollment ID: I20140312001261
Provider NameFrankie D Payne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629435938
PECOS PAC ID: 7719270016
Enrollment ID: I20160804001156
Provider NameMark Petrovani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1871758565
PECOS PAC ID: 2668646878
Enrollment ID: I20170426000874
Provider NameMehrdad Soleimani
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1285049809
PECOS PAC ID: 5890065312
Enrollment ID: I20170717001437
Provider NameJohane Gildade Boursiquot
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1275801219
PECOS PAC ID: 2264675255
Enrollment ID: I20170808003114
Provider NameCheron E Morris
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215234869
PECOS PAC ID: 8527330810
Enrollment ID: I20170822000896
Provider NameRosetta Romero-williams
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780080010
PECOS PAC ID: 9739454059
Enrollment ID: I20171012000038
Provider NameRainier Chirinos
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982095873
PECOS PAC ID: 7416275086
Enrollment ID: I20180425001101
Provider NameUchenna Evelyn Egwuonwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932477452
PECOS PAC ID: 4981945748
Enrollment ID: I20190404002733
Provider NameNicole A Williams-sanchez
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508132523
PECOS PAC ID: 6103156336
Enrollment ID: I20191001001479
Provider NameChristine Daza
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386069300
PECOS PAC ID: 0749511483
Enrollment ID: I20191011000428
Provider NameDarlene Maria Sanchez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588210561
PECOS PAC ID: 8729310370
Enrollment ID: I20191030003471
Provider NameMark Ramdas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912556705
PECOS PAC ID: 6406281088
Enrollment ID: I20200109001300
Provider NameBrocha Newman
Provider TypePractitioner - Registered Dietitian Or Nutrition Professional
Provider IdentifiersNPI Number: 1740725233
PECOS PAC ID: 1153749932
Enrollment ID: I20200910001095
Provider NameNnamdi Uwakwe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700492436
PECOS PAC ID: 7810308392
Enrollment ID: I20201206000000
Provider NameStephanie Renee Fuller
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1780138305
PECOS PAC ID: 2668748369
Enrollment ID: I20201228001632
Provider NameDayakishan Chahal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1902327034
PECOS PAC ID: 5597019315
Enrollment ID: I20210113000687
Provider NameBeulah Anne Abraham
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1659803237
PECOS PAC ID: 9234476334
Enrollment ID: I20210204002754
Provider NameVeronica N Ramsaroop
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861000267
PECOS PAC ID: 8022423714
Enrollment ID: I20210210000815
Provider NameAvigail Itzkowitz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1760094437
PECOS PAC ID: 9234544552
Enrollment ID: I20210219000482
Provider NameTenzin Choekyi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1285223032
PECOS PAC ID: 0547675613
Enrollment ID: I20210428002556
Provider NamePayal Patel
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811549355
PECOS PAC ID: 8729477591
Enrollment ID: I20211116003000
Provider NameMushka Edelkopf
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831774181
PECOS PAC ID: 8123413614
Enrollment ID: I20220320000012
Provider NameNickecha L Redway
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275290579
PECOS PAC ID: 5193102697
Enrollment ID: I20220524000160
Provider NameMark E Basiratmand
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154836153
PECOS PAC ID: 6204167729
Enrollment ID: I20220614002203
Provider NameVerenisse Torres
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1386202216
PECOS PAC ID: 3476888595
Enrollment ID: I20221017001727
Provider NameTamara M Henry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1841743911
PECOS PAC ID: 5597008987
Enrollment ID: I20221106000024
Provider NameKandis Mclean
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619637485
PECOS PAC ID: 4082082011
Enrollment ID: I20221123002043
Provider NameMary Bernardo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538416185
PECOS PAC ID: 6002063922
Enrollment ID: I20230404002237
Provider NameBene Aneke
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407380363
PECOS PAC ID: 8325306541
Enrollment ID: I20230920000644
Provider NameAnu John
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1881119840
PECOS PAC ID: 2264888072
Enrollment ID: I20231031002629
Provider NameAmy Lin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518671429
PECOS PAC ID: 9830538305
Enrollment ID: I20240416004220
Provider NameAbel Infante
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1598452922
PECOS PAC ID: 7012440738
Enrollment ID: I20241101001321
Provider NameFazle Showon
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1184290892
PECOS PAC ID: 8022542646
Enrollment ID: I20241105002518
Provider NameShelly Twito
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619624079
PECOS PAC ID: 0042663353
Enrollment ID: I20241204002547
Provider NameSuresh Kumar Sagar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1790519684
PECOS PAC ID: 5890221329
Enrollment ID: I20241209000245
Provider NameCaitlin Macfarlane
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942020771
PECOS PAC ID: 9032648654
Enrollment ID: I20250128002497
Provider NameVibhuti Krishna
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1528758505
PECOS PAC ID: 5496275570
Enrollment ID: I20250219002173
Provider NameJamie Petkovic
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1205425204
PECOS PAC ID: 8123432267
Enrollment ID: I20250320001174
Provider NameLizbeth Rose Rodriguez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487463493
PECOS PAC ID: 8022532159
Enrollment ID: I20250409003706
Provider NameNathaniel Allen Royster
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740928068
PECOS PAC ID: 0042736829
Enrollment ID: I20250424001230

Reviews and Comments


Family Medicine in Mineola, NY

Frank A. Monteleone, M.d.,p.c.
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Medicare: Not Enrolled in Medicare
Practice Location: 173 Mineola Blvd, Suite 203, Mineola, NY 11501
Phone: 516-741-3560    Fax: 516-741-3562
Winthrop Infectious Disease Associates Univ Faculty Practice Corp
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Medicare: Not Enrolled in Medicare
Practice Location: 222 Station Plz N, Suite 432, Mineola, NY 11501
Phone: 516-663-2507    Fax: 516-663-3234
Winthrop Faculty Medical Affiliates University Faculty Practice Copor
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 222 Station Plz N, Suite 310, Mineola, NY 11501
Phone: 516-663-2051    
Winthrop Medical Affiliates Urgent Care University Faculty Practice C
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 222 Station Plz N, Suite 110, Mineola, NY 11501
Phone: 516-663-1111    
Winthrop University Hospital
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 259 1st St, Mineola, NY 11501
Phone: 516-663-2288    
Winthrop Geriatric Medicine Associates Pc
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 222 Station Plz N, Suite 518, Mineola, NY 11501
Phone: 516-663-2588    Fax: 516-663-4644
Samuel Park Md, Pllc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 160 1st St Unit 551, Mineola, NY 11501
Phone: 516-619-8098    

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.