Innovative Medical Care PLLC
NPI 1063720910 · Family Medicine Physician · Deer Park, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Innovative Medical Care PLLC is a Family Medicine Physician organization in Deer Park, NY (NPI 1063720910).
Provider details
- NPI number
- 1063720910
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Behrouz Farahmandpour, President(631) 940-0409
- License
- 233446 (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
15 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)
- 24711 Union TpkeBellerose, NY 11426-1846Phone: (631) 940-0409Fax: (631) 940-1834
Registry dates
- Enumerated
- 2010-09-14
- Last updated
- 2025-03-30
- Certified
- 2025-03-30
Frequently asked questions
- What is Innovative Medical Care PLLC's NPI number?
- Innovative Medical Care PLLC's National Provider Identifier (NPI) is 1063720910, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Innovative Medical Care PLLC?
- Innovative Medical Care PLLC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Innovative Medical Care PLLC located?
- Innovative Medical Care PLLC's practice location on file with NPPES is 375 Commack Rd Unit a, Deer Park, NY 11729-5522.
- What is Innovative Medical Care PLLC's phone number?
- The practice phone number listed in the NPPES registry for Innovative Medical Care PLLC is (631) 940-1834.
- Does Innovative Medical Care PLLC accept Medicare?
- Innovative Medical Care PLLC 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 Innovative Medical Care PLLC?
- The authorized official listed on Innovative Medical Care PLLC's NPPES record is Behrouz Farahmandpour, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Innovative Medical Care PLLC's NPI active?
- Yes — Innovative Medical Care PLLC's NPI (1063720910) is active in the NPPES registry as of the last update on 2025-03-30.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.