NPIMap

Organization Active NPI

Big Apple Primary Medical Care PC

  • Internal Medicine Physician
  • Astoria, NY
National Provider Identifier
1215684543
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
BIG APPLE PRIMARY MEDICAL CARE PC
Practice address
2512 Steinway St Ste B
Astoria, NY 11103-3754
Phone
(347) 527-1004
Fax
(347) 246-5415
NPI assigned
Mar 7, 2022
Last updated
Mar 3, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Authorized official

Name
Ibrahim Mansour, MDNPI 1578807590
Title
President
Phone
(646) 770-1267

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

2512 Steinway St Ste B
Astoria, NY 11103-3754

Mailing address

2512 Steinway St Ste B
Astoria, NY 11103-3754
Phone (347) 527-1004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220421001380 NY Part B Supplier - Clinic/Group Practice 4981091998 Receives reassigned benefits from 4 practitioners
Practice locations: Flushing, NY; Astoria, NY

National Provider Directory

National Provider Directory

Locations

2512 Steinway St
Ste B
Astoria, NY 11103
Phone (347) 527-1004

503 Ditmas Ave
Brooklyn, NY 11218
Phone (342) 221-1422

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772496000000",
    "number": "1215684543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 STEINWAY ST STE B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033754",
            "telephone_number": "347-527-1004",
            "fax_number": "347-246-5415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 STEINWAY ST STE B",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111033754",
            "telephone_number": "347-527-1004",
            "fax_number": "347-246-5415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG APPLE PRIMARY MEDICAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-07",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A",
        "authorized_official_last_name": "MANSOUR",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-770-1267",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; 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.