Individual provider Active NPI

Debra Pincus, MD

  • Internal Medicine Physician
  • Kings Park, NY
National Provider Identifier
1548255102
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
183029 Issued in NY
Practice address
65 Indian Head Rd
Suite 2
Kings Park, NY 11754-3705
Phone
(631) 269-0180
Fax
(631) 269-0178
NPI assigned
Sep 20, 2005
Reactivated
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 183029 NY Primary

Addresses

Primary practice location

65 Indian Head Rd
Suite 2
Kings Park, NY 11754-3705

Mailing address

65 Indian Head Rd
Suite 2
Kings Park, NY 11754-3705
Phone (631) 269-0180

Other identifiers 1

IdentifierTypeStateIssuer
01709571MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090601000214 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 7416006044 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

65 Indian Head Rd
Kings Park, NY 11754-3729
Phone (631) 269-0180

6500 Jericho Tpke
Suite 23a
Commack, NY 11725-2907
Phone (631) 858-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Park Primary Medical Care PC Internal Medicine CurrentSince May 17, 1999 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 15, 2021 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Dec 15, 2021 Accepting new patients

Locations

2248 31st St
Astoria, NY 11105
Phone (718) 267-1333

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

6500 Jericho Tpke
Ste 23A
Commack, NY 11725
Phone (631) 858-2273

234 W Jericho Tpke
Huntington Station, NY 11746
Phone (631) 423-5400

65 Indian Head Rd
Kings Park, NY 11754
Phone (631) 269-0180

65 Indian Head Rd
Ste 2
Kings Park, NY 11754
Phone (631) 269-0180

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

399 Fort Salonga Rd
Northport, NY 11768
Phone (631) 757-5400

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: debra.pincus.1@2983.direct.athenahealth.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1548255102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 INDIAN HEAD RD",
            "address_2": "SUITE 2",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543705",
            "telephone_number": "631-269-0180",
            "fax_number": "631-269-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 INDIAN HEAD RD",
            "address_2": "SUITE 2",
            "city": "KINGS PARK",
            "state": "NY",
            "postal_code": "117543705",
            "telephone_number": "631-269-0180",
            "fax_number": "631-269-0178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINCUS",
        "first_name": "DEBRA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "183029",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01709571",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Park, NY

Sources for this page

Verify at the official NPI Registry.