Active NPI
Sydney Mick
- Specialist
- Plainview, NY
National Provider Identifier
1669360798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 255 Executive Dr Ste Ll108
Plainview, NY 11803-1707 - Phone
- (516) 576-2040
- NPI assigned
- Jun 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
255 Executive Dr Ste Ll108
Plainview, NY 11803-1707
Mailing address
43 Oak Point Dr N
Bayville, NY 11709-1120
Phone (516) 667-5033
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750896000000",
"number": "1669360798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 OAK POINT DR N",
"city": "BAYVILLE",
"state": "NY",
"postal_code": "117091120",
"telephone_number": "516-667-5033"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 EXECUTIVE DR STE LL108",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118031707",
"telephone_number": "516-576-2040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MICK",
"first_name": "SYDNEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-06-26",
"last_updated": "2025-06-26",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plainview, NY
- Christina Michaelides, MS.SPED
- Wayne Michaels, D.D.S
- Elisha Michelena, LCSW
- Jennifer Beth Michell, MS ED
- Sandrine Michon, DPM
- Mid Island Allergy Group, P.C.
- Mid Island Orthopedics & Sports Medicine PC
- Mid Island Therapy Associates, LLC D/B/a All About Kids
- Mid- Island Y JCC
- Mid-Island Y Jewish Community Center, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.