Prime Medical Care, PC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PRIME MEDICAL CARE, PC

Practice address

11808 101St Ave
South Richmond Hill, NY 11419-1230

Phone

(718) 441-0410

NPI assigned

Mar 15, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Tahira GhaffarNPI 1912179458

Title

Medical Director

Phone

(718) 441-0410

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tahira F. Ghaffar, MD

  • Family Medicine Physician
  • Richmond Hill, NY
  • NPI 1912179458
  Medicare reassignment NPD Authorized official
• Manpreet Kaur, PA-C

  • Medical Physician Assistant
  • South Richmond Hill, NY
  • NPI 1346623097
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1331769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331769600000",
    "number": "1215202874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 FELTON AVE",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115803902",
            "telephone_number": "631-355-9052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11808 101ST AVE",
            "city": "SOUTH RICHMOND HILL",
            "state": "NY",
            "postal_code": "114191230",
            "telephone_number": "718-441-0410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME MEDICAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-15",
        "last_updated": "2012-03-15",
        "status": "A",
        "authorized_official_last_name": "GHAFFAR",
        "authorized_official_first_name": "TAHIRA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "718-441-0410"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sherly Pierre Charles
• Ahristina Prasad
• Nishant Prashar
• Preet Pharmacy Inc. (Zara Pharmacy)
• Nordine Presendieu Mondesir
• PSCH, Inc (Promoting Specialized Care & Health)
• Punjab RX Pharmacy Inc
• Qlimg Richmond Hill Med Office
• Quantum Labs and Supplies Inc
• Queens General Medical PC

• Family Medicine Physician in South Richmond Hill, NY
• Providers in South Richmond Hill, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.