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

Promed Preferred Nj 5 PC

Organization Internal Medicine Physician · NPI 1679446280

Promed Preferred Nj 5 PC is an Internal Medicine Physician in Melville, New York. Registered with an NPI since 2025.

In the registry since
2025
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

4 Legends Cir
Melville, NY 11747-5302
Phone: (615) 499-3165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1679446280
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lev Grinman — President · (615) 499-3165
NPI enumeratedSeptember 29, 2025
Last updated in NPPESSeptember 29, 2025
Certification dateSeptember 29, 2025
Mailing address329 S Oyster Bay Rd # 2059, Plainview, NY 11803-3301

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