OrganizationActive
Mid Island Internal Medicine, PLLC
NPI 1750577201 · Legal Medicine · Ronkonkoma, NY
Mid Island Internal Medicine, PLLC is a Legal Medicine organization in Ronkonkoma, NY (NPI 1750577201).
Provider details
- NPI number
- 1750577201
- Entity type
- Organization
- Primary specialty
- Legal MedicineOther Service Providers
- Organization subpart
- No
- Authorized official
- Jennifer Liotta, Office Manager(631) 588-0880
- License
- 199922 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
709 Hawkins Ave
Ronkonkoma, NY 11779-4243
Phone: (631) 588-0880
Fax: (631) 588-0391
Street-level locationGet directions
Mailing address
709 Hawkins Ave
Ronkonkoma, NY 11779-2293
Registry dates
- Enumerated
- 2007-09-19
- Last updated
- 2009-05-27
Frequently asked questions
- What is Mid Island Internal Medicine, PLLC's NPI number?
- Mid Island Internal Medicine, PLLC's National Provider Identifier (NPI) is 1750577201, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mid Island Internal Medicine, PLLC?
- Mid Island Internal Medicine, PLLC is classified in the NPPES registry as Legal Medicine (Other Service Providers).
- Where is Mid Island Internal Medicine, PLLC located?
- Mid Island Internal Medicine, PLLC's practice location on file with NPPES is 709 Hawkins Ave, Ronkonkoma, NY 11779-4243.
- What is Mid Island Internal Medicine, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Mid Island Internal Medicine, PLLC is (631) 588-0880.
- Who is the authorized official for Mid Island Internal Medicine, PLLC?
- The authorized official listed on Mid Island Internal Medicine, PLLC's NPPES record is Jennifer Liotta, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mid Island Internal Medicine, PLLC's NPI active?
- Yes — Mid Island Internal Medicine, PLLC's NPI (1750577201) is active in the NPPES registry as of the last update on 2009-05-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.