OrganizationActive
210 Mineola Medical PC
NPI 1821566969 · Family Medicine Physician · Mineola, NY
210 Mineola Medical PC is a Family Medicine Physician organization in Mineola, NY (NPI 1821566969).
Provider details
- NPI number
- 1821566969
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Irena Musheev, Credentialing Coordinator(516) 612-9837
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
210 Old Country Rd
Mineola, NY 11501-4218
Phone: (516) 279-4400
Street-level locationGet directions
Mailing address
211 Broadway Ste 205
Lynbrook, NY 11563-3290
Registry dates
- Enumerated
- 2018-11-07
- Last updated
- 2018-11-07
Frequently asked questions
- What is 210 Mineola Medical PC's NPI number?
- 210 Mineola Medical PC's National Provider Identifier (NPI) is 1821566969, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 210 Mineola Medical PC?
- 210 Mineola Medical PC is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is 210 Mineola Medical PC located?
- 210 Mineola Medical PC's practice location on file with NPPES is 210 Old Country Rd, Mineola, NY 11501-4218.
- What is 210 Mineola Medical PC's phone number?
- The practice phone number listed in the NPPES registry for 210 Mineola Medical PC is (516) 279-4400.
- Who is the authorized official for 210 Mineola Medical PC?
- The authorized official listed on 210 Mineola Medical PC's NPPES record is Irena Musheev, Credentialing Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 210 Mineola Medical PC's NPI active?
- Yes — 210 Mineola Medical PC's NPI (1821566969) is active in the NPPES registry as of the last update on 2018-11-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.