Prine Health Medical Group, PLLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

PRINE HEALTH MEDICAL GROUP, PLLC

Practice address

1129 Northern Blvd Ste 101
Manhasset, NY 11030-3022

Phone

(516) 365-5570

NPI assigned

Oct 20, 2021

Organization subpart

No

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

Authorized official

Name

Georgia Haynes

Title

Administrator

Phone

(516) 407-2731

Specialties & licenses 1

Addresses

Other names 1

• PRINE Podiatry Doing business as

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634688000000",
    "number": "1790448389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 OLD COUNTRY RD STE 100",
            "city": "GARDEN CITY",
            "state": "NY",
            "postal_code": "115301702",
            "telephone_number": "516-365-5570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1129 NORTHERN BLVD STE 101",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "110303022",
            "telephone_number": "516-365-5570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRINE HEALTH MEDICAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A",
        "authorized_official_last_name": "HAYNES",
        "authorized_official_first_name": "GEORGIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "516-407-2731"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PRINE Podiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Caroline Predmore, AU.D.
• Courtney Marie Prezioso, MPT
• Simon Elliot Prince, D.O.
• Prine Health Ipa, LLC.
• Prine Health Medical Group, PLLC
• Lomy Prinston, CRNA
• Jordan G Pritzker, MD
• Rusmat Priyam, MD
• Professional Occupational & Physical Therapy, PLLC
• Progressive Ear, Nose & Throat Assoc., PLLC

• Durable Medical Equipment & Medical Supplies in Manhasset, NY
• Providers in Manhasset, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.