307 Long Island Medical PC
NPI 1023206026 · Anesthesiology Physician · Great Neck, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
307 Long Island Medical PC is a Anesthesiology Physician organization in Great Neck, NY (NPI 1023206026).
Provider details
- NPI number
- 1023206026
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Shanta Mallikarjuna, Office Manager(516) 487-5858
- License
- 227976-1 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-10-04
- Last updated
- 2007-10-04
Frequently asked questions
- What is 307 Long Island Medical PC's NPI number?
- 307 Long Island Medical PC's National Provider Identifier (NPI) is 1023206026, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 307 Long Island Medical PC?
- 307 Long Island Medical PC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is 307 Long Island Medical PC located?
- 307 Long Island Medical PC's practice location on file with NPPES is 307 E Shore Rd, Great Neck, NY 11023-2420.
- What is 307 Long Island Medical PC's phone number?
- The practice phone number listed in the NPPES registry for 307 Long Island Medical PC is (516) 487-5858.
- Does 307 Long Island Medical PC accept Medicare?
- 307 Long Island Medical PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for 307 Long Island Medical PC?
- The authorized official listed on 307 Long Island Medical PC's NPPES record is Shanta Mallikarjuna, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 307 Long Island Medical PC's NPI active?
- Yes — 307 Long Island Medical PC's NPI (1023206026) is active in the NPPES registry as of the last update on 2007-10-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.