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

Mr. Ebenezer Premkumar Thangavelu, NP

Individual provider Adult Health Nurse Practitioner · NPI 1780673228

Mr. Ebenezer Premkumar Thangavelu, NP is a Nurse Practitioner in Lindenhurst, New York. Qualified in 1999, 27 years ago. Practices with Long Island Medical Services PC, a 6-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Licensed in
NY
In the registry since
2005
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Practice location Address checks out

143 S 9th St
Lindenhurst, NY 11757-4523
Phone: (516) 983-5754
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence F 302708-1 (NY)

Record details

NPI number1780673228
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 18, 2005
Last updated in NPPESMay 18, 2016

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Long Island Medical Services P.C. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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