Active NPI
Hicksville Family Medical Care, PLLC
- Family Medicine Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sandeep Jain, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05716550 | Medicaid | NY |
Other names 1
- Nao Medical
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2170729 | Hicksville Family Medical Care | Certificate of waiver | Mar 26, 2027 |
| 33D2170731 | Hicksville Family Medical Care | Certificate of waiver | Mar 26, 2027 |
| 33D2309200 | Hicksville Family Medical Care | Certificate of waiver | Mar 26, 2027 |
| 33D2309201 | Hicksville Family Medical Care | Certificate of waiver | Mar 26, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Internal Medicine Physician
- Hicksville, NY
- NPI 1891738100
-
- Internal Medicine Physician
- Hicksville, NY
- NPI 1669114005
-
- Psychiatric/Mental Health Nurse Practitioner
- New York, NY
- NPI 1538416185
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1902327034
-
- Family Nurse Practitioner
- Woodhaven, NY
- NPI 1982095873
-
- Nurse Practitioner
- Brooklyn, NY
- NPI 1285223032
-
- Family Medicine Physician
- Huntington Station, NY
- NPI 1376540435
-
- Family Nurse Practitioner
- Middletown, NY
- NPI 1932477452
-
- Physician Assistant
- Astoria, NY
- NPI 1598503872
-
- Family Nurse Practitioner
- Mount Vernon, NY
- NPI 1841743911
-
- Family Medicine Physician
- Bronx, NY
- NPI 1437230661
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.