Prine Health Medical Group, PLLC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

Legal business name

PRINE HEALTH MEDICAL GROUP, PLLC

Practice address

1800 Rockaway Ave Ste 212
Hewlett, NY 11557-1677

Phone

(516) 407-2727

Fax

(516) 387-9797

NPI assigned

Mar 18, 2025

Organization subpart

Yes

Parent organization

PRINE HEALTH MEDICAL GROUP, PLLCAs reported in NPPES

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

Authorized official

Name

Simon Elliot Prince, DONPI 1770589285

Title

President

Phone

(516) 407-2727

Specialties & licenses 1

Addresses

Tax ID family

Prine Health Medical Group3 organizations share this tax ID, including this one

Part of

Prine Health Medical Group

Other organizations with this tax ID 2

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

• Prine Health Medical Group, PLLC

  • Podiatrist
  • Rockville Centre, NY
  • NPI 1053267369
  NPD tax ID
• Prine Health Medical Group, PLLC

  • Podiatrist
  • Great Neck, NY
  • NPI 1285334623
  NPD tax ID

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Simon Elliot Prince, D.O.

  • Nephrology Physician
  • Manhasset, NY
  • NPI 1770589285
  NPD (past) Authorized official

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1742256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1144020132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 OLD COUNTRY RD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301702",
            "telephone_number": "516-407-2727",
            "fax_number": "516-387-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 ROCKAWAY AVE STE 212",
            "city": "HEWLETT",
            "state": "NY",
            "postal_code": "115571677",
            "telephone_number": "516-407-2727",
            "fax_number": "516-387-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINE HEALTH MEDICAL GROUP, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRINE HEALTH MEDICAL GROUP, PLLC",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "PRINCE",
        "authorized_official_first_name": "SIMON",
        "authorized_official_middle_name": "ELLIOT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-407-2727",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Pinkhasova, OTR/L
• Michelle Pinkhasova
• Rodel Villarosa Placino
• Miroslava Linett Pradella, LCSW-R
• Precision Wellness NP in Adult Health
• Professional Occupational & Physical Therapy, PLLC
• Professional Orthopedic and Sports Physical Therapy PC
• Progress in Motion Physical Therapy PLLC
• Prokhiy Counseling
• Lyudmila Prokhiy, LMHC, LMFT

• All providers in Hewlett, NY
• Non-Pharmacy Dispensing Site in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.