NPIMap

Organization Active NPI

Prine Health Medical Group, PLLC

Doing business as PRINE Podiatry

  • Nephrology Physician
  • Manhasset, NY
National Provider Identifier
1144790163
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
PRINE HEALTH MEDICAL GROUP, PLLC
Doing business as
PRINE Podiatry
Practice address
1129 Northern Blvd Ste 101
Manhasset, NY 11030-3022
Phone
(516) 365-5570
Fax
(516) 365-5532
NPI assigned
Dec 3, 2018
Last updated
May 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Authorized official

Name
Adriana Toohey
Title
HR/Credentialing
Phone
(516) 407-2727

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X NU Primary

Addresses

Primary practice location

1129 Northern Blvd Ste 101
Manhasset, NY 11030-3022

Mailing address

1400 Old Country Rd Ste 101N
Westbury, NY 11590-5119
Phone (516) 407-2727

Other practice location 1

27111 76th Ave
New Hyde Park, NY 11040-1436
Phone (516) 387-7463

Other practice location 2

600 Northern Blvd Ste 115
Great Neck, NY 11021-5200
Phone (516) 482-8220

Other names 1

  • PRINE Podiatry Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190222000152 NY Part B Supplier - Clinic/Group Practice 1557600384 Receives reassigned benefits from 106 practitioners
Practice locations: Bayside, NY; Manhasset, NY

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

20110 Northern Blvd
Ste 304
Bayside, NY 11361
Phone (516) 407-2727

250 Pettit Ave
Ste 101
Bellmore, NY 11710

250 Pettit Ave
Ste 2
Bellmore, NY 11710
Phone (516) 387-7463

31 Merrick Ave
Ste 230
Merrick, NY 11566
Phone (516) 377-2820

77 N Centre Ave
Ste 300
Rockville Ctr, NY 11570
Phone (516) 764-5807

Practitioners & affiliated clinicians

Practitioners 113

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 113

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778025600000",
    "number": "1144790163",
    "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",
            "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": "1129 NORTHERN BLVD STE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303022",
            "telephone_number": "516-365-5570",
            "fax_number": "516-365-5532"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "27111 76th Ave",
            "address_purpose": "LOCATION",
            "city": "New Hyde Park",
            "state": "NY",
            "postal_code": "110401436",
            "country_code": "US",
            "telephone_number": "516-387-7463",
            "fax_number": "516-260-6127",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "600 Northern Blvd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Great Neck",
            "state": "NY",
            "postal_code": "110215200",
            "country_code": "US",
            "telephone_number": "516-482-8220",
            "fax_number": "516-482-8221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRINE HEALTH MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A",
        "authorized_official_last_name": "TOOHEY",
        "authorized_official_first_name": "ADRIANA",
        "authorized_official_title_or_position": "HR/CREDENTIALING",
        "authorized_official_telephone_number": "516-407-2727"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINE Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Manhasset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.