Primary Medical Associates of Long Island PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

260076 Issued in NY

Legal business name

PRIMARY MEDICAL ASSOCIATES OF LONG ISLAND PLLC

Practice address

54 Sunnyside Blvd Ste E
Plainview, NY 11803-1517

Phone

(516) 506-7776

Fax

(516) 719-0708

NPI assigned

Sep 11, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Natalia Levinskaya, D.O.NPI 1710118104

Title

Attending Physician

Phone

(516) 506-7776

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

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

CLIA laboratory certificates

Locations

Practitioners 3

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

• Natalia Levinskaya, D.O.

  • Family Medicine Physician
  • Plainview, NY
  • NPI 1710118104
  Medicare reassignment NPD Authorized official
• Vanessa Ambereen Ali-Pennock, D.O.

  • Family Medicine Physician
  • Plainview, NY
  • NPI 1205066503
  Medicare reassignment NPD
• Maria Victoria Moreno Cuttle, MD

  • Family Medicine Physician
  • Jackson Heights, NY
  • NPI 1801052253
  NPD (past)

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395705600000",
    "number": "1306196936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD STE E",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-506-7776",
            "fax_number": "516-719-0708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 SUNNYSIDE BLVD STE E",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118031517",
            "telephone_number": "516-506-7776",
            "fax_number": "516-719-0708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY MEDICAL ASSOCIATES OF LONG ISLAND PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-11",
        "last_updated": "2014-03-25",
        "status": "A",
        "authorized_official_last_name": "LEVINSKAYA",
        "authorized_official_first_name": "NATALIA",
        "authorized_official_title_or_position": "ATTENDING PHYSICIAN",
        "authorized_official_telephone_number": "516-506-7776",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "260076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "33D2057234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Plainview, NY
• Providers in Plainview, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.