Organization Active NPI

Hicksville Family Medical Care, PLLC

  • Family Medicine Physician
  • Mineola, NY
National Provider Identifier
1770813792
Registry record updated Feb 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HICKSVILLE FAMILY MEDICAL CARE, PLLC
Practice address
135 Mineola Blvd Ste B
Mineola, NY 11501-3917
Phone
(917) 410-6990
Fax
(516) 938-1554
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2026

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

Authorized official

Name
Dr. Sandeep Jain, MDNPI 1891738100
Title
Medical Director
Phone
(516) 707-8846

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 15

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
Clinic/Center 261Q00000X
Corporate Health Clinic/Center 261QC1800X
Emergency Care Clinic/Center 261QE0002X
Health Service Clinic/Center 261QH0100X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Adult Mental Health Clinic/Center 261QM0850X
Adolescent and Children Mental Health Clinic/Center 261QM0855X
Migrant Health Clinic/Center 261QM1000X
Primary Care Clinic/Center 261QP2300X
Prison Health Clinic/Center 261QP2400X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
Student Health Clinic/Center 261QS1000X

Addresses

Primary practice location

135 Mineola Blvd Ste B
Mineola, NY 11501-3917

Mailing address

135 Mineola Blvd Ste B
Mineola, NY 11501-3917
Phone (917) 410-6990

Other practice location 1

9018 Sutphin Blvd Ste B
Jamaica, NY 11435-3636
Phone (917) 410-6990

Other practice location 2

8010 Northern Blvd Ste B
Jackson Heights, NY 11372-1345
Phone (917) 410-6990

Other practice location 3

308 Graham Ave Ste B
Brooklyn, NY 11211-4904
Phone (917) 410-6990

Other practice location 4

10022 37th Ave Ste B
Corona, NY 11368-4516
Phone (917) 410-6990

Other practice location 5

341 Eastern Pkwy Ste B
Brooklyn, NY 11216-4862
Phone (917) 410-6990

Other practice location 6

2063A Bartow Ave Ste B
Bronx, NY 10475-4613
Phone (917) 410-6990

Other practice location 7

259 1st Ave Ste B
New York, NY 10003-2910
Phone (917) 410-6990

Other practice location 8

932 E 174th St Ste B
Bronx, NY 10460-5202
Phone (917) 410-6990

Other practice location 9

3007 36th Ave Ste B
Long Island City, NY 11106-2314
Phone (917) 410-6990

Other practice location 10

3715 23rd Ave Ste B
Astoria, NY 11105-1544
Phone (917) 410-6990

Other practice location 11

232 W Old Country Rd Ste B
Hicksville, NY 11801-4011
Phone (917) 410-6990

Other identifiers 1

IdentifierTypeStateIssuer
05716550MedicaidNY

Other names 1

  • Nao Medical Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190514000263 NY Part B Supplier - Clinic/Group Practice 7416290564 Receives reassigned benefits from 121 practitioners
Practice locations: Jamaica, NY; New York, NY; Mineola, NY; Long Island City, NY; Jackson Heights, NY; Hicksville, NY; Brooklyn, NY; Astoria, NY…

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2170729Hicksville Family Medical Care3715 23Rd Ave, Astoria, NY 11105Certificate of waiverMar 26, 2027
33D2170731Hicksville Family Medical Care2063A Bartow Ave, Bronx, NY 10475Certificate of waiverMar 26, 2027
33D2309200Hicksville Family Medical Care341 Eastern Pkwy, Brooklyn, NY 11216Certificate of waiverMar 26, 2027
33D2309201Hicksville Family Medical Care232 W Old Country Rd, Hicksville, NY 11801Certificate of waiverMar 26, 2027

National Provider Directory

National Provider Directory

Locations

3715 23rd Ave
Ste B
Astoria, NY 11105

2063 Bartow Ave
Ste B
Bronx, NY 10475

932 E 174th St
Ste B
Bronx, NY 10460

341 Eastern Pkwy
Ste B
Brooklyn, NY 11216

3805 Church Ave
Brooklyn, NY 11203
Phone (718) 278-0616

308 Graham Ave
Ste B
Brooklyn, NY 11211

232 W Old Country Rd
Ste B
Hicksville, NY 11801

232 S Broadway
Hicksville, NY 11801

8010 Northern Blvd
Ste B
Jackson Heights, NY 11372

3007 36th Ave
Ste B
Long Island City, NY 11106

3707 36th Ave
Ste B
Long Island City, NY 11101

135 Mineola Blvd
Ste B
Mineola, NY 11501

135 Mineola Blvd
Fl 2
Mineola, NY 11501

259 1st Ave
Ste B
New York, NY 10003

Practitioners & affiliated clinicians

Practitioners 171

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

View all 171

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772064000000",
    "number": "1770813792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MINEOLA BLVD STE B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013917",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MINEOLA BLVD STE B",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115013917",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9018 Sutphin Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Jamaica",
            "state": "NY",
            "postal_code": "114353636",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8010 Northern Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113721345",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 Graham Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112114904",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10022 37th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "NY",
            "postal_code": "113684516",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "341 Eastern Pkwy Ste B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112164862",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2063A Bartow Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104754613",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "259 1st Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100032910",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "932 E 174th St Ste B",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104605202",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3007 36th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Long Island City",
            "state": "NY",
            "postal_code": "111062314",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3715 23rd Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Astoria",
            "state": "NY",
            "postal_code": "111051544",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 W Old Country Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Hicksville",
            "state": "NY",
            "postal_code": "118014011",
            "country_code": "US",
            "telephone_number": "917-410-6990",
            "fax_number": "516-938-1554",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HICKSVILLE FAMILY MEDICAL CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2026-02-26",
        "certification_date": "2026-02-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "516-707-8846",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QE0002X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Emergency Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Migrant Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Prison Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Student Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05716550",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nao Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mineola, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2026; 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.