Professional Evaluation Medical Group
NPI 1104960962 · Exclusive Provider Organization · Hicksville, NY
Professional Evaluation Medical Group is a Exclusive Provider Organization organization in Hicksville, NY (NPI 1104960962).
Provider details
- NPI number
- 1104960962
- Entity type
- Organization
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- James Sheehy, Executive Director(516) 935-4378
- License
- 147150 (NY)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
- 2007-02-16
- Last updated
- 2011-11-10
Frequently asked questions
- What is Professional Evaluation Medical Group's NPI number?
- Professional Evaluation Medical Group's National Provider Identifier (NPI) is 1104960962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Professional Evaluation Medical Group?
- Professional Evaluation Medical Group is classified in the NPPES registry as Exclusive Provider Organization (Managed Care Organizations).
- Where is Professional Evaluation Medical Group located?
- Professional Evaluation Medical Group's practice location on file with NPPES is 380 S Broadway, Hicksville, NY 11801-5033.
- What is Professional Evaluation Medical Group's phone number?
- The practice phone number listed in the NPPES registry for Professional Evaluation Medical Group is (516) 935-4378.
- Who is the authorized official for Professional Evaluation Medical Group?
- The authorized official listed on Professional Evaluation Medical Group's NPPES record is James Sheehy, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Professional Evaluation Medical Group's NPI active?
- Yes — Professional Evaluation Medical Group's NPI (1104960962) is active in the NPPES registry as of the last update on 2011-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.