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Hicksville Family Medical Care, PLLC

NPI 1770813792ActiveOrganization· Family Medicine· Mineola, NY

Family Medicine in Mineola, New York, registered in NPPES in January 2010. The authorized official on file is Sandeep Jain, MD, Medical Director. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1770813792
StatusActive
Entity typeOrganization
NPI issuedJan 14, 2010
Last updated in NPPESFeb 26, 2026
Certified by providerFeb 26, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X——
Home Health251E00000X——
Community/Behavioral Health251S00000X——
Clinic/Center261Q00000X——
Clinic/Center, Corporate Health261QC1800X——
Clinic/Center, Emergency Care261QE0002X——
Clinic/Center, Health Services261QH0100X——
Clinic/Center, Mental Health (Including Community Mental Health Center)261QM0801X——
Clinic/Center, Adult Mental Health261QM0850X——
Clinic/Center, Adolescent and Children Mental Health261QM0855X——
Clinic/Center, Migrant Health261QM1000X——
Clinic/Center, Primary Care261QP2300X——
Clinic/Center, Prison Health261QP2400X——
Clinic/Center, Rehabilitation, Substance Use Disorder261QR0405X——
Clinic/Center, Student Health261QS1000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (NY)

Medicare sources and data years

Other Family Medicine providers in Mineola

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