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

Omari Chubinidze Medical PC

Organization Family Medicine Physician · NPI 1790390292

Omari Chubinidze Medical PC provides Family Medicine Physician services 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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