NPIMap

Organization Active NPI

Prine Health Medical Group, PLLC

Doing business as PRINE Podiatry

  • Podiatrist
  • Rockville Centre, NY
National Provider Identifier
1053267369
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
Legal business name
PRINE HEALTH MEDICAL GROUP, PLLC
Doing business as
PRINE Podiatry
Practice address
314 Demott Ave
Rockville Centre, NY 11570-1854
Phone
(516) 223-4026
NPI assigned
Mar 9, 2026
Last updated
Mar 9, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Simon Elliot PrinceNPI 1770589285
Title
MD
Phone
(516) 365-5570

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X NU Primary

Addresses

Primary practice location

314 Demott Ave
Rockville Centre, NY 11570-1854

Mailing address

1400 Old Country Rd Ste 101N
Westbury, NY 11590-5119

Other names 1

  • PRINE Podiatry Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Prine Health Medical Group PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 38

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 38

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773014400000",
    "number": "1053267369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 OLD COUNTRY RD STE 101N",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115905119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 DEMOTT AVE",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115701854",
            "telephone_number": "516-223-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINE HEALTH MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-09",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "516-365-5570"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINE Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.