PRIMARY URGENT MEDICAL PC NPI 1700313574

NPI Information

  • NPI: 1700313574
  • Provider Name: PRIMARY URGENT MEDICAL PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 33D0157985
  • Address: 791 NORTH WELLWOOD AVE
    LINDENHURST, NY
    ZIP 11757
  • Phone: (631) 957-2200

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NPI Details

PRIMARY URGENT MEDICAL PC is an internal medicine in Lindenhurst, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. PRIMARY URGENT MEDICAL PC NPI is 1700313574. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

791 NORTH WELLWOOD AVE
LINDENHURST, NY
ZIP 11757
Phone: (631) 957-2200

The provider's authorized official is Akbar Khan .
The authorized official title is Executive Medical Director and has the following contact phone number (631) 957-2200.

The CLIA number assigned to this NPI record is 33D0157985 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/11/2017 and was last updated on 11/14/2025.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2208VP0000XPain MedicinePain MedicineNo
3207P00000XEmergency MedicineNo
4207RR0500XInternal MedicineRheumatologyNo
5207R00000XInternal Medicine207298NEW 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
103218953MEDICAIDNEW YORK

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: 11/21/2025

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