Individual provider Active NPI

Richard Mermelstein, MD

  • Internal Medicine Physician
  • W Hempstead, NY
National Provider Identifier
1629488440
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
290500 Issued in NY
Practice address
225 Nassau Blvd # B
W Hempstead, NY 11552-2247
Phone
(516) 656-1919
Fax
(833) 968-3330
NPI assigned
May 1, 2014
Last updated
Sep 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 290500 NY Primary

Addresses

Primary practice location

225 Nassau Blvd # B
W Hempstead, NY 11552-2247

Mailing address

1010 Northern Blvd Ste 328
Great Neck, NY 11021-5329
Phone (516) 233-2484

Other practice location 1

24 Joy Dr
Manhasset Hills, NY 11040-1109
Phone (516) 233-8241

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180403000375 NY Practitioner - Internal Medicine 5092019372 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1010 Northern Blvd
Suite 328
Great Neck, NY 11021-5329

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
99.37
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
290500NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prine Health Medical Group, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Prine Health Medical Group, PLLC CurrentSince Dec 1, 2023 Accepting new patients
Hudson Primary Care Medical PC Internal Medicine PastSince Dec 1, 2019 Accepting new patients
Parker Jewish Institute for Health Care and Rehabilitation Past Accepting new patients
Mehta Medical PC Internal Medicine PastSince Jul 1, 2020 Accepting new patients

Locations

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

370 Old Country Rd
Ste 100
Garden City, NY 11530
Phone (516) 222-1000

400 S Oyster Bay Rd
Ste 308
Hicksville, NY 11801
Phone (516) 365-5570

1129 Northern Blvd
Ste 101
Manhasset, NY 11030
Phone (516) 365-5570

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: richard.mermelstein.1@24863.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1398902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1629488440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 NORTHERN BLVD STE 328",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110215329",
            "telephone_number": "516-233-2484",
            "fax_number": "516-304-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 NASSAU BLVD # B",
            "city": "W HEMPSTEAD",
            "state": "NY",
            "postal_code": "115522247",
            "telephone_number": "516-656-1919",
            "fax_number": "833-968-3330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Joy Dr",
            "address_purpose": "LOCATION",
            "city": "Manhasset Hills",
            "state": "NY",
            "postal_code": "110401109",
            "country_code": "US",
            "telephone_number": "516-233-8241",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERMELSTEIN",
        "first_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-01",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in W Hempstead, NY

Sources for this page

Verify at the official NPI Registry.