It is represented by Democrat Tom Suozzi, after a special election was held on February 13, 2024, to replace expelled Republican George Santos.

Long Island communities in the district include Oyster Bay Cove, Old Brookville, Levittown, Glen Cove, Roslyn, Manhasset, Plainview, Bethpage, Port Washington, Hicksville, Jericho, Syosset, Mineola, Farmingdale, and Great Neck.

In 1833, a fourth seat was apportioned to the district, also elected district-wide at-large on the same general ticket.

Following the expulsion of George Santos from Congress on December 1, 2023,[18] Governor Kathy Hochul set the special election date for Tuesday, February 13, 2024.

In the 1960s the district encompassed the northern half of Nassau County and a small corner of Queens.