Organization Active NPI

Medical Care of L.I., P.C,

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Cove, NY
National Provider Identifier
1346565256
Registry record updated Apr 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
MEDICAL CARE OF L.I., P.C,
Practice address
15 Glen St
Ste 304
Glen Cove, NY 11542-2782
Phone
(516) 671-6021
NPI assigned
Apr 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2010

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

Authorized official

Name
Dr. Sergei Belkin, MDNPI 1083609762
Title
President
Phone
(516) 671-6021

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

15 Glen St
Ste 304
Glen Cove, NY 11542-2782

Mailing address

81 Radcliff Ave
Port Washington, NY 11050-1616
Phone (516) 671-6021

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101109000031 NY Part B Supplier - Clinic/Group Practice 2961697628 Receives reassigned benefits from 1 practitioner
Practice locations: Bayside, NY; Westbury, NY; Glen Cove, NY; East Meadow, NY

National Provider Directory

National Provider Directory

Locations

2 Medical Plz
Glen Cove, NY 11542
Phone (516) 671-0858

15 Glen St
Ste 304
Glen Cove, NY 11542
Phone (516) 671-6021

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270252800000",
    "number": "1346565256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 RADCLIFF AVE",
            "city": "PORT WASHINGTON",
            "state": "NY",
            "postal_code": "110501616",
            "telephone_number": "516-671-6021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 GLEN ST",
            "address_2": "STE 304",
            "city": "GLEN COVE",
            "state": "NY",
            "postal_code": "115422782",
            "telephone_number": "516-671-6021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL CARE OF L.I., P.C,",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-03",
        "last_updated": "2010-04-03",
        "status": "A",
        "authorized_official_last_name": "BELKIN",
        "authorized_official_first_name": "SERGEI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-671-6021",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Cove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2010; 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.