Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mid Island Medical Associates, PLLC

Organization Family Medicine Physician · NPI 1023905247

Mid Island Medical Associates, PLLC provides Family Medicine Physician services in Center Moriches, New York. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

172 Belleview Ave
Center Moriches, NY 11934-3731
Phone: (516) 697-8387
Fax: (516) 365-1476
Show map & directions

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

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X
Family Medicine Physician Taxonomy 207Q00000X

Record details

NPI number1023905247
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olaf Butchma — President · (203) 901-2493
NPI enumeratedJune 20, 2025
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025
Mailing addressPo Box 367, Manhasset, NY 11030-0367

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