Mercy Medical Center
NPI 1104097294ActiveOrganization· Internal Medicine· Rockville Centre, NY
Internal Medicine in Rockville Centre, New York, registered in NPPES in March 2008, part of Mercy Medical Center. The authorized official on file is John Reilly, MD, Chief Medical Officer. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1104097294 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Mercy Medical Center |
| NPI issued | Mar 17, 2008 |
| Last updated in NPPES | Jan 21, 2020 |
| Certified by provider | Jan 21, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 178140 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (NC); Part B Supplier - Clinic/Group Practice (NJ); Part B Supplier - Clinic/Group Practice (PA) |
|---|
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