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

Omari Chubinidze Medical PC

Organization Family Medicine Physician · NPI 1790390292

Omari Chubinidze Medical PC is a Family Medicine Physician in Hicksville, New York. Registered with an NPI since 2020.

In the registry since
2020
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

100 Newbridge Rd Ste 6
Hicksville, NY 11801-3948
Phone: (347) 599-0633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1790390292
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Omari Chubinidze — Owner · (347) 599-0633
NPI enumeratedSeptember 11, 2020
Last updated in NPPESJuly 15, 2025
Certification dateJuly 15, 2025
Mailing address100 Newbridge Rd Ste 6, Hicksville, NY 11801-3948

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