300 Old Country Road Medical PLLC
NPI 1164935276 · Obstetrics & Gynecology Physician · Mineola, NY
300 Old Country Road Medical PLLC is a Obstetrics & Gynecology Physician organization in Mineola, NY (NPI 1164935276).
Provider details
- NPI number
- 1164935276
- Entity type
- Organization
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Lawrence Tydings, Medical Director(516) 702-4924
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
8 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
- 2017-11-10
- Last updated
- 2017-11-10
Frequently asked questions
- What is 300 Old Country Road Medical PLLC's NPI number?
- 300 Old Country Road Medical PLLC's National Provider Identifier (NPI) is 1164935276, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 300 Old Country Road Medical PLLC?
- 300 Old Country Road Medical PLLC is classified in the NPPES registry as Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is 300 Old Country Road Medical PLLC located?
- 300 Old Country Road Medical PLLC's practice location on file with NPPES is 300 Old Country Rd Ste 201, Mineola, NY 11501-4199.
- What is 300 Old Country Road Medical PLLC's phone number?
- The practice phone number listed in the NPPES registry for 300 Old Country Road Medical PLLC is (516) 702-4924.
- Who is the authorized official for 300 Old Country Road Medical PLLC?
- The authorized official listed on 300 Old Country Road Medical PLLC's NPPES record is Lawrence Tydings, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 300 Old Country Road Medical PLLC's NPI active?
- Yes — 300 Old Country Road Medical PLLC's NPI (1164935276) is active in the NPPES registry as of the last update on 2017-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.