Primary Care Medical PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PRIMARY CARE MEDICAL PLLC

Practice address

1 Fulton Ave Ste 12a
Hempstead, NY 11550-3648

Phone

(718) 212-0000

Fax

(929) 822-7518

NPI assigned

Mar 22, 2024

Last updated

Mar 22, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mahidul Chowduary, MDNPI 1962063255

Title

President

Phone

(718) 212-0000

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, and the practitioner matching its NPPES authorized official.

• Mahidul Chowduary, MD

  • Internal Medicine Physician
  • Hempstead, NY
  • NPI 1962063255
  Medicare reassignment NPD Authorized official
• Sarat A Bhumi, MD

  • Cardiovascular Disease Physician
  • New Hyde Park, NY
  • NPI 1861578924
  NPD

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

{
    "created_epoch": "1711065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1447000658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE STE 12A",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503648",
            "telephone_number": "718-212-0000",
            "fax_number": "929-822-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FULTON AVE STE 12A",
            "city": "HEMPSTEAD",
            "state": "NY",
            "postal_code": "115503648",
            "telephone_number": "718-212-0000",
            "fax_number": "929-822-7518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY CARE MEDICAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-22",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "CHOWDUARY",
        "authorized_official_first_name": "MAHIDUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-212-0000",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Premier Home Health Care Services, Inc.
• Premier Pediatrics Care PC
• Premier RX Corp (Hempstead Drugs)
• Premier Social Adult Day Services
• Prestige Healthcare Services Inc
• Anne Marie Edwige Prince, RN
• Professional Anesthesia Associates,LLP
• Professional Orthopedic Surgery PLLC
• Promed Staffing Resources
• Pure Bliss Family Health NP and RN PLLC

• Internal Medicine Physician in Hempstead, NY
• Providers in Hempstead, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; 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.