Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

54 Main Street Medical Practice PC

Organization Family Medicine Physician · NPI 1386711497

54 Main Street Medical Practice PC is a Family Medicine Physician in Hempstead, New York. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

129 Jackson St
Hempstead, NY 11550-2412
Phone: (516) 538-4531
Fax: (516) 292-6287
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1386711497
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Richard Addes — Owner · (516) 593-8953
NPI enumeratedNovember 30, 2006
Last updated in NPPESOctober 21, 2021
Certification dateOctober 21, 2021
Mailing address2965 Long Beach Rd, Oceanside, NY 11572-3255

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