OrganizationActive
37 Main Street Medical Care PC
NPI 1366208639 · Internal Medicine Physician · Merrick, NY
Provider details
- NPI number
- 1366208639
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kamran Siddiqui, Chief Executive Officer(516) 600-0676
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Primary Care Nurse Practitioner363LP2300X
Physician Assistants & Advanced Practice Nursing Providers
- Family Medicine Physician207Q00000X
Allopathic & Osteopathic Physicians
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
- Physician Assistant363A00000X
Practice location
2094 Merrick Ave
Merrick, NY 11566-3147
Phone: (516) 600-0676
Fax: (516) 863-2963
Approximate (ZIP-level) locationGet directions
Mailing address
2094 Merrick Ave
Merrick, NY 11566-3147
Other names (DBA / former)
- Doing business as
- Mainstreet Med
Additional practice locations (1)
- 11605 Myrtle AveRichmond Hill, NY 11418-1749Phone: (516) 600-0676Fax: (516) 863-2963
Registry dates
- Enumerated
- 2024-02-26
- Last updated
- 2025-09-19
- Certified
- 2025-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.