Long Island Kidney Care PC
NPI 1063190064 · Nephrology Physician · Garden City, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Long Island Kidney Care PC is a Nephrology Physician organization in Garden City, NY (NPI 1063190064).
Provider details
- NPI number
- 1063190064
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Mohsen Pahlavan, Owner(516) 261-9988
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
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Additional practice locations (1)
- 1097 Old Country Rd Ste 101Plainview, NY 11803-6505Phone: (516) 261-9988Fax: (516) 612-0071
Registry dates
- Enumerated
- 2023-07-10
- Last updated
- 2023-07-10
- Certified
- 2023-07-10
Frequently asked questions
- What is Long Island Kidney Care PC's NPI number?
- Long Island Kidney Care PC's National Provider Identifier (NPI) is 1063190064, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Long Island Kidney Care PC?
- Long Island Kidney Care PC is classified in the NPPES registry as Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Long Island Kidney Care PC located?
- Long Island Kidney Care PC's practice location on file with NPPES is 901 Stewart Ave Ste 204, Garden City, NY 11530-4883.
- What is Long Island Kidney Care PC's phone number?
- The practice phone number listed in the NPPES registry for Long Island Kidney Care PC is (516) 261-9988.
- Does Long Island Kidney Care PC accept Medicare?
- Long Island Kidney Care 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 Long Island Kidney Care PC?
- The authorized official listed on Long Island Kidney Care PC's NPPES record is Mohsen Pahlavan, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Long Island Kidney Care PC's NPI active?
- Yes — Long Island Kidney Care PC's NPI (1063190064) is active in the NPPES registry as of the last update on 2023-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.