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NYC PRIMARY MEDICAL CARE PC NPI 1467984500


NPI Information

NPI: 1467984500
Provider Name: NYC PRIMARY MEDICAL CARE PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 33D2196439

Address:
310 E 14TH ST
NEW YORK, NY
ZIP 10003
Phone: (212) 979-4204
Get Directions

NYC PRIMARY MEDICAL CARE PC is a family medicine in New York, NY. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NYC PRIMARY MEDICAL CARE PC NPI is 1467984500. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

310 E 14TH ST
NEW YORK, NY
ZIP 10003-201
Phone: (212) 979-4204
Fax: (212) 979-4415

The provider's authorized official is Mahyar Eidgah .
The authorized official title is Owner and has the following contact phone number (212) 979-4204.

The CLIA number assigned to this NPI record is 33D2196439 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 3/29/2017 and was last updated on 3/29/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine232944NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15430B1MEDICARE PIN
2I29142MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.