NPIMap

Organization Active NPI

Long Island Medical Services P.C.

  • Internal Medicine Physician
  • Syosset, NY
National Provider Identifier
1841443538
Registry record updated Nov 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
234331 Issued in NY
Legal business name
LONG ISLAND MEDICAL SERVICES P.C.
Practice address
235 Saddle LN
Syosset, NY 11791-4428
Phone
(917) 573-5667
NPI assigned
Oct 28, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2008

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

Authorized official

Name
Dr. Grigoriy Krichmar, D.O.NPI 1043371164
Title
Owner
Phone
(917) 573-5667

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 234331 NY Primary

Addresses

Primary practice location

235 Saddle LN
Syosset, NY 11791-4428

Mailing address

235 Saddle LN
Syosset, NY 11791-4428
Phone (917) 573-5667

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090310000537 NY Part B Supplier - Clinic/Group Practice 3476619867 Receives reassigned benefits from 21 practitioners
Practice locations: Bethpage, NY; North Bellmore, NY; Syosset, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

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

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226275200000",
    "number": "1841443538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SADDLE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914428",
            "telephone_number": "917-573-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SADDLE LN",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914428",
            "telephone_number": "917-573-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONG ISLAND MEDICAL SERVICES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-11-10",
        "status": "A",
        "authorized_official_last_name": "KRICHMAR",
        "authorized_official_first_name": "GRIGORIY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-573-5667",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "234331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.