Individual provider Active NPI

Lucas Jordan Skolkin

  • Physician Assistant
  • Hempstead, NY
National Provider Identifier
1093689382
Registry record updated Jan 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
900 Fulton Avenue
Hempstead, NY 11550
Phone
(516) 463-6600
NPI assigned
Oct 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

900 Fulton Avenue
Hempstead, NY 11550

Mailing address

270 Shore Rd Apt 2
Long Beach, NY 11561-4219
Phone (973) 796-6864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317002574 NY Practitioner - Physician Assistant 9537642624 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Urgent Care PLLCGroup PAC ID 1355636440, 17 clinicians
Excel Urgent Care of Wantagh PLLCGroup PAC ID 9234364027, 40 clinicians
Excel Urgent Care of East Northport PLLCGroup PAC ID 5294909826, 19 clinicians
Excel Urgent Care of NHP PLLCGroup PAC ID 1658517883, 15 clinicians

Practice addresses (Care Compare)

2310 Hempstead Tpke
East Meadow, NY 11554-2035
Phone (516) 346-5090

3430 Sunrise Hwy
Wantagh, NY 11793-4069
Phone (516) 900-1600

558 Larkfield Rd
East Northport, NY 11731-4204
Phone (631) 486-7459

900 Hillside Ave
New Hyde Park, NY 11040-2522
Phone (516) 519-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
035243NYMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Urgent Care PLLC CurrentSince Feb 7, 2026 Accepting new patients

Locations

2310 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 346-5090

125 Sunrise Hwy
West Islip, NY 11795
Phone (631) 376-6075

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768348800000",
    "number": "1093689382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "270 SHORE RD APT 2",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115614219",
            "telephone_number": "973-796-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FULTON AVENUE",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "11550",
            "telephone_number": "516-463-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOLKIN",
        "first_name": "LUCAS",
        "middle_name": "JORDAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-01",
        "last_updated": "2026-01-14",
        "certification_date": "2026-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hempstead, NY

Sources for this page

Verify at the official NPI Registry.