Prime Care Medical Group Pc

LBN: Prime Care Medical Group Pc
Prime Care Medical Group Pc is an health care organization with primary practice located at 16806 Hillside Ave , Jamaica NY 11432-4341. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease, Podiatric Medicine & Surgery Service Providers / Podiatrist. Allopathic & Osteopathic Physicians / Internal Medicine is the primary health care specialty. Prime Care Medical Group Pc can be contacted via phone (718) 739-7400, or through Sadique, Iffat Ara via phone (718) 739-7400.

Contact Information

Primary practice address
16806 Hillside Ave Jamaica NY 11432-4341
Phone: (718) 739-7400
Fax: (718) 739-7413
Website:
Map and Directions
Authorized official contact:
Name: Sadique, Iffat Ara Doctor of Medicine (MD)
Phone: (718) 739-7400

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 230830 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 229868 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 242628 New York
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 244121 New York
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X N005475 New York

Profile Details

NPI number 1740461334
LBN Legal business name Prime Care Medical Group Pc
DBA Doing business as
Authorized official Sadique, Iffat Ara Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 25th, 2007
Last updated Aug 29th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1740461334 NPPES
New York MEDICAID 02585142
New York MEDICAID 02491972
New York MEDICAID 02802188
New York MEDICAID 02888186

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