NPIMap

Organization Active NPI

Long Island Internal Medicine PLLC

  • Internal Medicine Physician
  • Astoria, NY
National Provider Identifier
1376880013
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264609 Issued in NY
Legal business name
LONG ISLAND INTERNAL MEDICINE PLLC
Practice address
3029 38TH St
Astoria, NY 11103-3875
Phone
(917) 635-0613
Fax
(347) 527-2988
NPI assigned
Jan 15, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Authorized official

Name
Dr. Mukul Khurana, M.D.NPI 1144208497
Title
President
Phone
(917) 635-0613

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
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 264609 NY Primary

Addresses

Primary practice location

3029 38TH St
Astoria, NY 11103-3875

Mailing address

3029 38TH St
Astoria, NY 11103-3875
Phone (917) 635-0613

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130517000136 NY Part B Supplier - Clinic/Group Practice 8921245614 Receives reassigned benefits from 13 practitioners
Practice locations: Astoria, NY; Flushing, NY; Middle Village, NY; Long Island City, NY

National Provider Directory

National Provider Directory

Locations

2613 21st St
Astoria, NY 11102
Phone (516) 724-5941

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1358208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758067200000",
    "number": "1376880013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3029 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033875",
            "telephone_number": "917-635-0613",
            "fax_number": "347-527-2988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3029 38TH ST",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033875",
            "telephone_number": "917-635-0613",
            "fax_number": "347-527-2988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND INTERNAL MEDICINE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-15",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A",
        "authorized_official_last_name": "KHURANA",
        "authorized_official_first_name": "MUKUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-635-0613",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2025; 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.