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

Lincy Simon Thadathil, DO

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1669890166

Lincy Simon Thadathil, DO is a Physical Medicine and Rehabilitation in Bay Shore, New York. Graduated from New York College of Osteo Medicine of New York Institute of Technology in 2014, 12 years ago. Practices with New York University, a 5,884-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in New York and Texas.

Years since qualifying
12
Trained at
New York College of Osteo Medicine of New York Institute of Technology
Licensed in
NY, TX
In the registry since
2014
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

301 E Main St
Bay Shore, NY 11706-8408
Phone: (631) 968-3330
Fax: (631) 968-3690
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 1530 Front St, East Meadow, NY 11554-2265 — (516) 324-7500
  • 701 N Broadway, Sleepy Hollow, NY 10591-1020 — (914) 366-3718
  • 21720 Kingsland Blvd Suite #102, Katy, TX 77450 — (713) 799-6956

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 296701 (NY)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence R5480 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1669890166
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 1, 2014
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL MEDICINE AND REHABILITATION
Medical schoolNEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduated 2014 (12 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Bay Shore